Mozambique: Cholera Outbreak - Mar 2019Alert
On 27 March, the Government confirmed five cases of cholera at Munhava health centre in Beira City, according to the National Director of Medical Assistance, Ussene Isse. The authorities also reported some 2,500 cases of acute watery diarrhoea (AWD) in Beira district. A total of 900,000 cholera vaccine doses are expected to arrive in Mozambique by 1 April and micro-planning for the vaccination campaign is underway. (OCHA, 27 Mar 2019)
The Ministry of Health declared an outbreak of cholera this week with cases reported in Beira and Nhamatanda. To date, a total of 517 cholera suspected cases and one death had been reported in Beira and Nhamatanda. Investigations are ongoing to confirm the outbreak by culture and to undertake source finding investigations. In addition to the suspected cholera cases there are an increasing number of acute watery diarrhoea and malaria cases being reported in the cyclone and flood affected areas. A total of 535 diarrhoea cases were reported in Beira City (300), Dondo (200) and Nhamtanda and a total of 276 cases of malaria were reported in Beira City (101), Dondo (152) and Nhamtanda (23) as of 30 March 2019. (WHO, 31 Mar 2019)
As of this week, 500 beds are now open in seven cholera treatment centres across the affected area, with plans to boost the capacity significantly to cope with an expected increase in cases. WHO is training 30 health workers on case management for cholera and on setting and monitoring standards and protocols in those centres. More than 900 000 doses of oral cholera vaccine from the global stockpile for emergency use are due to arrive in Beira tomorrow (Tuesday 2 April), and the Government and partners, including UNICEF, [IFRC], [MSF] and Save the Children, are working around the clock to start the vaccination campaign on Wednesday, 3 April. As of 1 April, a total of 1052 cases of cholera have been reported by the Ministry of Health, and more are expected due to the increasing numbers of people coming to health centres with acute watery diarrhoea. (WHO, 2 Apr 2019)
Maps & Infographics
Most read reports
- OCHA: Mozambique: Cyclone Idai & Floods Situation Report No. 16 (As of 18 April 2019). 19 Apr 2019
- OCHA: Mozambique: Cyclone Idai & Floods Situation Report No. 14 (as of 15 April 2019). 16 Apr 2019
- OCHA: Mozambique: Cyclone Idai & Floods Situation Report No. 17 (As of 20 April 2019). 21 Apr 2019
- WHO: Disease detection in a box – a high-tech solution for emergency settings. 16 Apr 2019
- WHO: WHO AFRO Outbreaks and Other Emergencies, Week 16: 15 - 21 April 2019; Data as reported by 17:00; 21 April 2019. 23 Apr 2019
This Situation Report is produced by OCHA Regional Office for Southern and Eastern Africa in collaboration with humanitarian partners. The Situation Report builds on Flash Updates #1 through #15 and provides detailed information on the situation and response by sector. The next report will be issued as of 24 April 2019.
• More than 700 people were relocated from Beira to Guara Guara on 20 and 21 April. The relocations were reportedly organized and orderly, according to the Government and protection partners.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 66 events in the region. This week’s edition covers key ongoing events, including:
Cyclone in Mozambique
Ebola virus disease outbreak in the Democratic Republic of the Congo
Lassa fever in Nigeria
Hepatitis E in Namibia
Chikungunya in the Republic of Congo.
Currently, there are 77,003 people displaced and hosted in 66 accommodation/transit centres in Sofala, Manica, Zambezia and Tete;
UNICEF continues to support the functioning of numerous water systems in affected areas providing safe drinking water to 776,603 people, 82 per cent of the cluster total target.
UNICEF supports the operational deployment of mobile brigades which enabled more than 8,000 live-saving consultations to children under-five.
70,610 persons Displaced across 69 evacuation sites as reported by INGC
77,019 persons Reported across 67 sites in Beira,
Dondo, Nhamatanda in DTM’s multisectoral location assessment
85,864 persons Provided with shelter assistance in Beira and affected areas (17,054 HHs)
13% RECEIVED: $4.6M REQUESTED: 36.4 M
14% ASSISTED: 84,864 TARGETED: 600,000
To date, 1,615 humanitarians are registered to access Emergency Telecommunications Cluster (ETC) Internet connectivity to enable them to do their work.
The ETC continues to provide connectivity in the Emergency Operations Centre (EOC) and 16x additional sites in Beira, as well as in Buzi, Grudja and Nhamatanda to support the increasing humanitarian response.
• The number of internally displaced people living in accommodation centres was 77,003 people across 66 sites in Manica (32); Sofala (26); Tete (5) and Zambezia (3), as of 20 April.
• At least 240 people were relocated from Beira City to Guara Guara on 20 April, where most are temporarily staying in a collective site as they begin to rebuild their homes.
• At least 50 hard to reach areas have been reported in Nhamatanda, Buzi, and Chibabava districts.
1.85M People in need
The monthly risk briefing provides information on global weather, human and health events where members may consider using the Start Fund Anticipation process.
Efforts included hospital restoration and setting up health care tents
The work of Brazilian National Force agents in Mozambique was extended until May 7. The decision was made official Thursday (Apr. 18). Since April 1, 20 firefighters of the Brazilian National Force have been on a humanitarian mission to help the over 1.8 million Mozambicans affected by Cyclone Idai.
This Situation Report is produced by OCHA Regional Office for Southern and Eastern Africa in collaboration with humanitarian partners.
The Situation Report, which covers the period 17 to 18 April, builds on Flash Updates #1 through #15 and provides detailed information on the situation and response by sector. The next report will be issued as of 20 April 2019.
• Heavy rains and strong winds on 15 and 16 April have damaged roads and shelters in several locations.
USAID partner WFP reaches more than 1 million people in Mozambique with food and nutrition assistance
Zimbabwean President Mnangagwa launches $614 million appeal to fund recovery activities
Road access in Malawi improves, while authorities continue to repair key infrastructure used for the delivery of humanitarian assistance
This Situation Report is produced by OCHA Regional Office for Southern and Eastern Africa in collaboration with humanitarian partners. The Situation Report builds on Flash Updates #1 through #15 and provides detailed information on the situation and response by sector. The next report will be issued as of 18 April 2019.
• More than 70,610 people remain displaced in 69 accommodation sites across Manica (32); Sofala (29);
Tete (5) and Zambezia (3), as of 16 April.
More than 90 humanitarian organisations supported in 4 coordination centres, with over 775GB exchanged through TSF connections. Over 2,500 beneficiaries and 26 humanitarian calling operations with 89% of first calls since the disaster. These are the numbers after one month of operations in the aftermath of Cyclone Idai, when TSF reaches the end of its mission.
However, these numbers are just the reflection of TSF’s main concern: its beneficiaries, be it humanitarian actors or affected populations.
Almost half of the countries in Eastern and Southern Africa region (ESAR) have been affected by cholera outbreaks since the beginning of 2019. More than 8,258 cholera / AWD cases including 29 deaths have been reported in 10 countries in the region, with an average Case Fatality Rate of 0.4%, since the beginning of 2019. These countries include; Angola, Burundi, Kenya, Malawi, Mozambique, Tanzania, Somalia, Uganda, Zambia and Zimbabwe. Mozambique accounts for 69.5% (5,656) of the total case load reported this year, followed by Kenya at 16.3% (1,350).
Crisis Update - 17 April 2019
A weather system that produced heavy rains flooded parts of Malawi in early March 2019, before developing into Cyclone Idai which struck Mozambique and Zimbabwe on 14-16 March, 2019.
Flooding in Malawi has displaced nearly 87,000 people in camps, with the district of Makhanga one of the worst affected areas, which remains an island, cut off from all road access.