Dominican Republic/Haiti: Cholera Outbreak - Aug 2018
In July 2018, the Ministry of Public Health and Epidemiology reported that the Los Pinos Health Center (La Descubierta, municipality) saw an increase in the number of patients with acute diarrhoeal diseases from surrounding communities, which were suspected to be cases of cholera. In August 2018, the Ministry of Health reported that Vibrio cholerae had been identified in samples collected from residents of La Descubierta municipality in the National Public Health Laboratory. The same report also stated that three confirmed cases of cholera in the municipality had been identified. Since the outbreak began in Epidemiological Week (EW) 28 and up to EW 34, 4 confirmed cases of cholera and 91 suspected cases have been identified in the municipality..., in residents of Los Pinos del Edén, Ángel Feliz, the urban area of La Descubierta and Los Bolos. (IFRC, 21 Sep 2018)
The Haitian and Dominican health authorities completed a joint mission in response to the cholera outbreak in the Cornillon/Independencia border zone. They have resolved to develop planned interventions to cope with the epidemic, and to strengthen institutions and health networks along the border. The Haitian Ministry of Public Health reported 3 062 suspected cases of cholera between 1 January and 1 September in Haiti, of which 42% tested positive. (ECHO, 28 Sep 2018)
In Haiti between epidemiological week (EW) 1 and EW 36 of 2018, 3,111 suspected cases were reported (Figure 1), including 37 deaths. The incidence rate for 2018 (until EW 36) is 25.5 cases per 100,000 population, which is the lowest recorded incidence since the beginning of the outbreak. Following the increase in cases that were reported in EW 19, a decrease has been observed, with a weekly average of 35 suspected cases reported over the last 8 weeks (EW 29 to EW 36). The cumulative case-fatality rate (CFR) has remained around 1% since 2011.
In the Dominican Republic, between EW 1 and EW 38 of 2018, 113 suspected cases of cholera were reported, representing an incidence rate of 1.52 cases per 100,000 population; this incidence rate is greater than the incidence rate reported for the same period in 2017 (1.43 cases per 100,000 population). Of the cases reported this year, 77% (n= 87) correspond to an outbreak that affected the province of Independencia between July and August 2018. In 2018, one death has been reported related to the outbreak in the province of Independencia. (PAHO, 11 Oct 2018)
Most read reports
- IFRC: Dominican Republic: Cholera Outbreak Final Report DREF n° MDRDO011. 21 Aug 2019
- UNICEF: Haiti: Humanitarian Situation Report January - June 2019. 5 Aug 2019
- CARE: Suffering In Silence: The 10 most under-reported humanitarian crises of 2018. 21 Feb 2019
- UN SC: United Nations Mission for Justice Support in Haiti - Report of the Secretary-General (S/2019/563). 22 Jul 2019
- OCHA: Haiti: Humanitarian Response Plan January 2019 - December 2020. 21 Feb 2019
A. Situation analysis
During Epidemiological Week (EW) 28 (8 to 14 July 2018), the Ministry of Public Health reported that the Los Pinos Health Centre in the municipality of La Descubierta (Independencia province) had reported an increase in the number of patients with acute diarrhoeal diseases (ADD).
In EW 32 (5 to 11 August 2018), the Ministry of Health reported that the National Public Health Laboratory had identified the Vibrio choleare bacterium in samples collected from La Descubierta residents.
Le RPM est un rapport produit en collaboration avec les secteurs. Il présente les progrès réalisés à travers une analyse qualitative et quantitative des indicateurs de résultat pour Haïti. Ceci est le deuxième rapport pour 2019. Il couvre la période de janvier à juin.
• During the first half of 2019, the security situation in Haiti became more precarious due to the persistent political crisis, social unrest and gang violence. In February 2019, when large-scale demonstrations resulted in a country lock-down, UNICEF supported water trucking for 856 people in children’s homes and detention centres and provided fuel to the Government to maintain water supply for 950,000 people.
Le RPM est un rapport produit en collaboration avec les secteurs. Il présente les progrès réalisés à travers une analyse qualitative et quantitative des indicateurs de résultat d’Haïti. Ceci est le premier rapport pour 2019. Il couvre la période de janvier à mars.
APERÇU DE LA SITUATION
This document complements the operational plan of the IFRC country office and reflects the IFRC support provided to the Haiti Red Cross Society (HRCS) in agreed upon areas of focus.
HUMANITARIAN NEEDS AND KEY FIGURES
CARE Report Ranks Top 10 Under-Reported Humanitarian Crises of 2018
APERÇU DE LA CRISE
SUMMARY OF NEEDS, TARGETS AND REQUIREMENTS
PEOPLE IN NEED 2.6M
PEOPLE TARGETED 1.3M
REQUIREMENTS (US$) 126.2 M
En 2018, Haïti a subi une période d’importante sécheresse, des inondations et un séisme, tandis que le pays fait toujours face aux épidémies de choléra, de diphtérie et de malaria, à une crise migratoire avec les déplacements volontaires ou contraints de populations haïtiennes en provenance de la République dominicaine ou d’autres pays de la région Amérique latine et Caraïbes, et à des problèmes récurrents de protection.
In 2018, Haiti suffered a period of severe drought, floods and an earthquake, at a time the country is still facing epidemics of cholera, diphtheria and malaria, a migration crisis with the voluntary or forced displacement of Haitian populations from the Dominican Republic or other countries in the Latin American and Caribbean region, and recurrent protection problems.
Haiti has been in a general shut down for 11 days, due to demonstrations and fights between national police and demonstrators that flared across the country since 7 February. Violent protests resulted in business closure and populations had narrow or no access to essential services and goods such as fuel, electricity, water, domestic gas, and food.
•The cholera epidemic has declined to the lowest transmission rate ever observed since 2010. 3,786 suspected cases were declared by the Ministry of Health in 2018, a 72% reduction compared to 2017.
•UNICEF and partners provided 240,227 beneficiaries with access to safe drinking water supply, through emergency response and recovery interventions; 122,605 people received information on appropriate hygiene practices, including on handwashing, and 18,550 people gained access to basic sanitation facilities.
384 500 people
USD 24 million
January – December 2019
If timely livelihood assistance is not provided, the food security situation of vulnerable families will further worsen.