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
- WFP: World Food Programme reaches 1 million flood-affected people in Mozambique. 16 Apr 2019
- IFRC: Infographic: Marking one month after Cyclone Idai in Mozambique. 17 Apr 2019
- MSF: MSF emergency response to Cyclone Idai and flooding. 17 Apr 2019
- WHO: Disease detection in a box – a high-tech solution for emergency settings. 16 Apr 2019
ECONOMIC AND SOCIAL COUNCIL
2019 SESSION 8TH MEETING (AM)
In efforts to address the aftermath of Cyclone Idai, which hit Mozambique, Malawi and Zimbabwe in March, the Economic and Social Council held a special meeting today on the international response, with the Deputy-Secretary General underscoring that additional emergency funding is desperately needed to contain the ongoing crisis and help mitigate similar events in the future.
WHO confirmed today, 2 April 2019, the arrival of 884,953 doses of cholera vaccine to support the humanitarian response in Beira, the most affected area hit by the Tropical Cyclone Idai, in Mozambique. The vaccination campaign is expected to start tomorrow, 3 April, and will add to the efforts already in place to control the spread of cholera.
1. General Update
• According to the Office for Coordination of Humanitarian Affairs (OCHA), analysis indicates that water levels continue to recede but are not yet below medium flood levels. Waters are, however, still rising in some minor watercourses in the Cheringoma Plateau (in Gorongosa National Park, Sofala province), the Savane, Sangussi and Zambazo, and peaks are forecasted until 2 April. Waters are also receding slowly in the Cuacua River, which flows through the Mopeia District of Zambezia province.
The Emergency Telecommunications Cluster (ETC) Services for Communities (S4C) advisor has so far conducted assessments of four community radio stations in Beira, Dondo and Buzi to explore potential S4C projects.
To date,867humanitarians at the Emergency Operations Centre (EOC)in Beira are registered to access ETC Internet connectivity to enable them to do their work.
- The death toll in Mozambique has risen to 518, as of 1 April. 1 052 cholera cases have also been confirmed in three districts, 959 in Beira (one death), 87 in Nhamatanda and six in Dondo. The cholera vaccination campaign due to start on 3 April will target Beira, Buzi, Nhamatanda and Dondo. 11 cholera treatment centres will manage the response; nine are already operational in Beira and other areas.
The Finnish Red Cross is going to work together with the Canadian Red Cross to establish a hospital in the disaster area left behind by Cyclone Idai in Mozambique. The hospital is going to be equipped to handle births and treat infectious diseases, for example.
A freight plane carrying a total of approximately 29 tonnes of supplies is going to be leaving Finland for Mozambique this week. The cargo will include a telecommunications unit and part of a field hospital.
Beira, Mozambique —A total of 33,435 Mozambican have now received shelter aid—either tarpaulins to replace destroyed roofs, or full tents—in a concerted international response to devastation brought by Cyclone Idai, one of the worst natural disasters to strike this African nation in decades.
Regional Director for the WHO African Region visits disaster zone
Beira, 1 April 2019 – Today the World Health Organization (WHO) Regional Director for Africa, Dr Matshidiso Moeti, took a first-hand look at response efforts to save lives and protect health for the people in Beira, the city hardest hit by Cyclone Idai in Mozambique.
“The next few weeks are crucial and speed is of the essence if we are to save lives and limit suffering,” said Dr Moeti after visiting devastated communities and witnessing the damage to health centres caused by the cyclone.
Direct Relief commits $250,000 in support of Cyclone Idai response as shipments of critical medicines continue.
By Gordon Willcock, Karoline Albuquerque
Flood waters are beginning to recede in Mozambique after Cyclone Idai made landfall last month, but recovery is just beginning for the country, where thousands remain displaced.
The rapid assessment of Beira was conducted on 29 March with 12 inter-agency assessment teams from INGC, IFRC, UN agencies and NGOs. The assessment used the pre-designed Instituto Nacional de Gestão de Calamidades (INGC) INGC form. Assessment teams visited 14 barrios / neighbourhoods – Matadouro, Tchondja, Inhamizua, Ndunda, Chingussura, Vaz, Vila Massane, Nhaconjo, Esturro, Manage Loforte, Munhava, Chota, Mananga and Muabvi 1.
At least 140,784 people have been displaced from Cyclone Idai and the severe flooding. Most of the displaced are hosted in 161 transit centers set up in Sofala, Manica, Zambezia and Tete provinces.
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:
• The official death toll has risen to 518 people as of 1 April, according to the Government.
• More than 1,000 cases of cholera and one death have been reported.
• Nearly 110,000 houses have been identified by the authorities as totally destroyed (59,910), partially destroyed (33,925) or flooded (15,784).
• As of 31 March, nearly 33,000 people had been reached with some type of shelter assistance.
Children make up half of those affected by Cyclone Idai in Malawi, Mozambique and Zimbabwe
By Rachael Cummings & Dr Unni Krishnan
Cholera cases create a new danger for children in the cyclone Idai-ravaged areas of Mozambique. There will be another disaster if cholera spreads.
Cyclone Idai, which made landfall in Mozambique over two weeks ago, is one of the worst weather-related catastrophes in Africa in recent times. It left a long trail of death and destruction in Mozambique, Zimbabwe and Malawi, and the flooding and contaminated water caused by the storm pose a huge threat to survivors, including thousands and thousands of children.
According to UN OCHA, as of 31 March, the death toll stands at 501 people. At least 141 000 are sheltered in 161 sites in Sofala (109 700 people in 116 sites), Manica (15 200 in 27 sites), Zambezia (13 200 in 13 sites) and Tete (13 200 in 5 sites). 55 095 houses have been totally destroyed, 28 129 partially destroyed and 15 784 flooded.
Cholera has been confirmed in Beira City; the scale of the damage to water and sanitation infrastructure has raised concerns of risk of further spread.
According to the Government of Mozambique, as of 31 March, 501 people are reported dead, 1 523 injured. The total number of people affected is reaching 843 723.
The Government of Mozambique confirms 271 cases of Cholera at Munhava health centre in Beira City, but the figures are expected to increase in the coming days. As of 30 March, 11 Cholera treatments centres have been established, of which 7 are already operational (5 in Beira and 2 in other locations).