Uganda: Cholera Outbreak - Feb 2018Ongoing
On 23 February 2018, the Uganda Ministry of Health notified WHO of an outbreak of cholera in Kyangwali refugee settlement, located in Hoima district in the western part of the country. The outbreak started on 15 February 2018...As of 23 February 2018, a total of 700 suspected cholera cases, including 27 deaths (case fatality rate 3.9%) were reported. The affected population are mostly newly arrived refugees and a few members of the host community. The most affected places are a landing site at the shores of Lake Albert and new refugee settlements in the neighbourhood. (WHO, 23 Feb 2018)
Since the beginning of the outbreak on 15 February 2018, a total of 1,151 cases, including 31 deaths (case fatality rate 2.7%), have been reported as of 27 February 2018. The majority of the affected people are refugees from the Democratic Republic of the Congo and 67% of cases are aged 5 years and above...The cholera outbreak in the refugee settlements in Hoima District continues, with two additional sub-counties being affected. Transmission is still mainly localized in the new refugee settlements and fishing villages along Lake Albert. The outbreak is being amplified by inadequate access to safe water supplies, poor sanitation and limited handwashing facilities in the communities. (WHO, 2 Mar 2018)
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KYANGWALI, UGANDA — The wave of ethnic violence sweeping through northeastern Democratic Republic of Congo has forced tens of thousands of people from their homes. Nearly 50,000 have crossed into Uganda.
The waters of Lake Albert look beautiful and even inviting, but they can also be dangerous. The U.N. says several Congolese refugees have died this year making the five-hour crossing to Uganda in rickety boats.
More than 11,181 cholera / AWD cases and 186 deaths (Case Fatality Rate, 1.7%) have been reported in 10 of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2018. These countries include; Angola, Kenya, Malawi, Mozambique, Rwanda, Somalia, Tanzania, Uganda, Zambia and Zimbabwe.
Hoima, 22 March 2018:- On 19th March 2018, twenty (20) new patients were admitted to the Cholera Treatment Centers (CTCs), most of whom (77%) were new arrivals from the Democratic Republic of Congo. As of that date, the cumulative number of cases reported was 1,747 with 36 deaths (CFR 2.06%). No deaths were recorded in all CTCs or in the isolation units. The cases are from Kyangwali, Kabwoya and Buseruka sub-counties. There are no cases in Hoima municipality.
Overwhelmed by 1.4 million refugees, Uganda is struggling to meet the needs of Congolese rape survivors
KYANGWALI, 20 March 2018
Around 8pm one January night, the bullets started flying through the village of Blukwa, in the Democratic Republic of Congo’s Ituri Province. It was just one incident in a wave of violence that has flared up in the region in recent months, forcing tens of thousands of people to flee.
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:
Listeriosis in Namibia
Cholera in north-east Nigeria
Cholera in Malawi
Hepatitis E in Namibia
Lassa fever in Liberia
Humanitarian crisis in Central African Republic
Kyangwali refugee settlement was established in the 1960s to accommodate Rwandan refugees. After many Rwandans repatriated voluntarily in 1994, the settlement has hosted mostly Congolese refugees. Since the start of a new refugee influx from the Democratic Republic of Congo (DRC) in mid December 2017, Kyangwali's population has nearly doubled from 36,713 in December 2017 to 68,703 in March 2018, putting a heavy strain on existing services. Many new humanitarian partners have arrived in the settlement to respond to the emergency.
Gaps & Challenges
INTRODUCTION & KEY TAKEAWAYS
This Outlook provides an overview of the anticipated humanitarian situation in the Great Lakes region from January to June 2018. It focuses on Burundi, the Democratic Republic of the Congo (DRC), Rwanda, Tanzania, Uganda and neighbouring countries—including Angola, Kenya and Zambia—that have received refugees and asylum-seekers due to the DRC crisis.
The WHO Health Emergencies Programme is currently monitoring 50 events in the region. This week’s edition covers key new and ongoing events, including:
- Listeriosis in South Africa
- Rift Valley fever in South Sudan
- Lassa fever in Nigeria
- Cholera in Uganda
- Humanitarian crisis in Democratic Republic of the Congo
For each of these events, a brief description followed by public health measures implemented and an interpretation of the situation is provided.
Uganda struggles amid new Congolese refugee influx
By Samuel Okiror
As Congolese fleeing attacks in the northeastern Ituri province continue to stream into neighbouring Uganda, an outbreak of cholera with a worryingly high mortality rate is hampering efforts to respond to the sudden influx.
A lack of adequate funds is frustrating the response not only to the disease outbreak, but also to the wider needs of the new arrivals.
Read more on IRIN.
More than 8,459 cholera / AWD cases and 150 deaths (Case Fatality Rate, 1.8%) have been reported in 10 of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2018. These countries include; Angola, Kenya, Malawi, Mozambique, Rwanda, Somalia, Tanzania, Uganda, Zambia and Zimbabwe.
Depuis le début de l’année, 45 000 réfugiés fuyant les violences en République démocratique du Congo sont arrivés en Ouganda. Le pays a du mal à répondre aux besoins humanitaires. L’épidémie de choléra qui sévit rend la situation encore plus alarmante, alertent nos équipes locales.
« Des milliers de réfugiés sont arrivés ces dernières semaines. Les besoins sont immenses et nous n’avons pas les moyens d’y répondre. Nous avons rapidement besoin de soutien financier pour ne pas perdre davantage de vies », déclare Delphine Pinault, directrice de CARE en Ouganda.
• As of 23 February, 2018 Uganda is home to 251,730 refugees from the Democratic Republic of Congo (DRC), who have fled inter- ethnic violence from the Ituri region. Over 45,000 have arrived in Uganda since 1 January 2018.
“We urgently need more funds if we don’t want to lose more lives”
(Kampala/Nairobi – 5 March 2018) – Thousands of Congolese seeking refuge at settlements in south western Uganda are at risk of contracting cholera, warns the international aid organization CARE.
According to the Ugandan Ministry of Health, 34 people have died and 1,257 cases have been confirmed. Cholera, an acute infectious disease, is spread through eating contaminated food and drinking contaminated water. If not treated, it can quickly prove fatal.
Violence has forced thousands of Congolese to seek safety in neighbouring Uganda, with overcrowded refugee camps there putting pressure on hygiene and sanitation facilities, increasing the risk of deadly cholera outbreaks.
Violence in the Democratic Republic of the Congo (DR Congo) has forced nearly 44,000 people to cross Uganda’s south-west border out of the country so far this year. This has put pressure on sanitation facilities in refugee settlements, and has led to deadly cholera outbreaks.
by Helen Manson
Right now, in this very moment, even as you read these words, there's an invisible crisis unfolding in the Democratic Republic of the Congo (DRC). Refugees are leaving in droves because of violence, heading to nearby Uganda where health clinics cater to their needs.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 48 events in the region. This week’s edition covers key new and ongoing events, including:
- Hoima District secretary of education and health, Mr Mugenyi Mulindambura asked the central government to use a multi sectoral approach in mitigating the cholera outbreak.
Cholera has killed 29 people in Hoima District, medical officers have confirmed.
The cholera outbreak was last week confirmed to have hit Congolese refugees in Kyangwali settlement camp who fled from fighting in the eastern Democratic Republic of Congo (DRC).
28 February 2018, Hoima: - The World Health Organization (WHO) is supporting the Ministry of Health in Uganda to respond to the Cholera outbreak in Kyangwali refugee camp, in Hoima district. As of 28 February, over 1000 cases have been registered and 31 people confirmed dead at the two treatment centers in Kasonga and Sebagoro in Kyangwali and Kabwoya sub-counties respectively.
In December, violence between communities flared up in Ituri province in northeastern Democratic Republic of Congo (DRC). It grew in intensity in February and fighting broke out around the area of Djugu. Houses were burnt, people were killed and tens of thousands fled their homes in search of safety.