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. 14 (as of 15 April 2019). 16 Apr 2019
- IFRC: Infographic: Marking one month after Cyclone Idai in Mozambique. 17 Apr 2019
- WFP: World Food Programme reaches 1 million flood-affected people in Mozambique. 16 Apr 2019
- WHO: Disease detection in a box – a high-tech solution for emergency settings. 16 Apr 2019
- MSF: MSF emergency response to Cyclone Idai and flooding. 17 Apr 2019
Brecht De Vleeschauwer
'Now, we will have to rely on aid.’
Among the casualties of Cyclone Idai are the livelihoods of people such as Ernesto Ameral, a 26-year-old farmer in the small Mozambican town of Dombe, near the Mussapa River and not far from Zimbabwe.
Read more on The New Humanitarian
Health agencies reach more than 803,000 people Mozambique in cholera vaccination campaign
USAID completes transport of commodities and DoD transitions air operations to humanitarian agencies
Tropical Cyclone Idai-related death toll in Zimbabwe increases to 344
USAID provides more than $3.5 million in additional funding for flood-affected populations in Malawi
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 12 April 2019.
Interventions are concentrated in Beira city and are evolved around relocation sites/accommodation centers. Non-specialized psychosocial support is the most common service delivery in site setting.
Information gap remains on the provision of specialized health service (clinic management of rape etc.) by humanitarian partners and emergency medical teams.
NFI (dignity kits) distribution has been the main intervention for risk mitigation and has the widest coverage across all the most affected districts.
On the night of March 14, Cyclone Idai struck the coast of Southeast Africa, causing catastrophic flooding and leaving hundreds of thousands cut off from health care and other essential services. Across Malawi, Zimbabwe, and Mozambique, rivers broke their banks, homes collapsed, and high winds and waters resulted in the deaths of hundreds of people and the displacement of thousands more.
Food distributions reach people in three countries through Islamic Relief’s response to devastating tropical storm Cyclone Idai.
More than 1.85 million people in Mozambique have been affected by Cyclone Idai, which last month made landfall in the country before sweeping into Malawi and Zimbabwe.
The Finnish Red Cross’s and the Canadian Red Cross’s joint cholera treatment unit admitted its first patients on Thursday. The unit is part of a field hospital that will operate in connection with the local Hospital Rural De Nhamatanda.
Cyclones, floods, and disease outbreaks continue to plague the Southern Africa and Indian Ocean region. At the start of 2019, almost 11 million people in the region face food shortages. In addition to providing life-saving aid when disasters hit, and helping those affected recover in the aftermath, the EU also focuses on preparing communities and institutions, to reduce the impact of disasters and implementing early warning systems and early action.
What are the needs?
The ETC together with the Communicating with Disaster Affected Communities (CDAC) Network conducted a technical assessment at Radio Nhamatanda and a focus group discussion to determine the information needs of the affected community.
• Critical Emergency Telecommunications Cluster (ETC) equipment, including satellite terminals, was finally released from customs and arrived on the ground in Beira.
• To date, 1,312 humanitarians are registered to access ETC Internet connectivity to enable them to do their work.
Kerrigan McCarthy Head of the Outbreak Response Unit, National Institute for Communicable Diseases
Lucille Blumberg Deputy Director of the National Institute for Communicable Diseases and a member of the joint staff, University of the Witwatersrand
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 11 April 2019.
• On 10 April, 391 new cholera cases were reported, bringing the total reported cases to 4,373, according to the Ministry of Health.
The Southern African Development Community (SADC) experienced the most devastating impacts of a Level 4 Tropical Cyclone IDAI, leading to three affected Member States; Malawi, Mozambique and Zimbabwe declaring states of emergency1. The flooding caused immediate and extensive damage leading to hundreds of lives lost, destruction of infrastructure, disruption of basic services and livelihoods as well as the destruction of croplands and crops.
Following the severe floods in Mozambique, Malawi and Zimbabwe there has been hunger, cholera and malaria.
- In Mozambique, the death toll stands at 602. As of 10 April, UN OCHA confirms 3 577 cases of cholera and 7 124 of malaria. At least 745 609 people have been vaccinated, 389 632 in Beira, 44 544 in Buzi, 149 416 in Dondo and 162 017 in Nhamatanda. More than 756 200 people have received food assistance.
- In Zimbabwe, 299 people are dead, more than 186 injured and 270 000 people have been affected. At least 30 000 people have received food assistance and 43 000 access to clean water.
- In Malawi, 59 people are dead, 672 injured and 87 000 displaced in emergency centres.
Mozambique Health Cluster and Nutrition Cluster are supporting 46 Partners who are reporting activities covering 11 provinces. Work remains predominantly in Sofala.
The roll out of a field data collection tool (EWAR in a box) was completed in all 4 districts at higher risk (Beira, Buzi, Nhamatando and Dondo), allowing to accelerate and streamline the flow, analysis and reporting of data to orient the response.
Cholera vaccination campaign commenced 4 April and has progressed on target in coordination with MoH and partners.
WHO KEY ACTIVITIES
The Humanitarian Country Team has activated nine clusters in support of the Government-led response. WHO is the Health Cluster lead in support of the Ministry of Health.
WHO’s goal is to establish effective leadership and response coordination at national and provincial level, to restore health services, and to prevent, detect, verify and rapidly respond to disease outbreaks through strengthened surveillance:
• Establish and support national and provincial emergency operations centres (EOCs)
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 10 April 2019.
As of 9 April, 495 new cholera cases were reported, bringing the total reported cases to date to 4,072, according to the Ministry of Health. Of these, 3,989 cases have been treated and discharged.