Mozambique: Cholera Outbreak - Mar 2019Ongoing
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)
Since the declaration of the cholera outbreak on 27 March 2019, and up to 18 April 2019, a cumulative total of 6,382 cases and 8 deaths were reported (CFR 0.1%). These cases were reported from the four districts (Beira, Buzi, Dondo and Nhamatanda) of Sofala Province originally affected by this outbreak. Beira district continued to be the most affected district with an overall attack rate of 909 cases per 100,000 population. (UNICEF, 2 May 2019)
Maps & Infographics
Most read reports
- OCHA: Mozambique: Cyclone Idai & Floods Situation Report No. 21 (As of 13 May 2019). 20 May 2019
- UNICEF: UNICEF and partners vaccinate hundreds of thousands of children affected by Cyclone Idai; stepping up life-saving cholera prevention work in northern areas affected by Cyclone Kenneth. 16 May 2019
- Govt. Mozambique: Tropical Cyclones Idai and Kenneth, Mozambique National Situation Report 2, 17 May [EN/PT]. 20 May 2019
- WHO: WHO AFRO Outbreaks and Other Emergencies, Week 20: 13 - 19 May 2019; Data as reported by 17:00; 19 May 2019. 20 May 2019
- OCHA: Mozambique: Cyclone Idai & Floods Situation Report No. 20 (As of 6 May 2019). 11 May 2019
The Logistics Cluster in Malawi, Mozambique and Zimbabwe
It began in early March. A severe weather system formed off the eastern coast of Malawi and Mozambique, bringing heavy rains and strong winds, before tracking back to the Mozambique channel. Here, it intensified into Category 3 Cyclone Idai, making landfall in Beira, Mozambique on 14 March.
Three weeks on, and the extent of the damage is becoming clearer.
Tropical Cyclone Idai made landfall during the night of 14th to 15th March 2019 along the coast of Dondo district (nearby the city of Beira) in the Province of Sofala, in central Mozambique.. The cyclone had heavy impacts on the city of Dondo as reported in the Initial Rapid Assessment Report, published on 25 March. The focus of this assessment was on relatively inaccessible coastal areas which had received minimal response and had not yet been properly assessed.
USAID Counselor travels to Mozambique to observe USG-funded response activities
Health agencies continue to vaccinate populations against cholera
IOM launches $7.2 million appeal to provide assistance to 90,000 people in Zimbabwe
USAID partner CARE provides emergency relief commodities to cyclone-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 on 9 April 2019.
• Child-friendly spaces are being established by partners in multiple locations, including Beira, Dondo, and Buzi.
The European Union has announced today an additional €12 million in humanitarian support in Mozambique, Zimbabwe and Malawi. This funding will assist people in need following cyclone Idai and the subsequent floods.
Total EU humanitarian assistance in response to this natural disaster now amounts to over €15 million.
As of 8 April, the death toll in Mozambique stands at 602 people, according to UN OCHA.
The number of cholera cases has increased to 3 161. At least 593 000 people have been vaccinated, 348 872 in Beira, 32 107 in Buzi, 109 868 in Dondo and 102 354 in Nhamatanda. 756 255 people have received food assistance in Sofala, Tete, Zambezia and Manica.
Over the next 24 hours, heavy to moderate rain with isolated thunderstorms is forecast in northern provinces while moderate rain is expected in southern provinces.
Beira – The streets of this busy port city are returning to life as Mozambique approaches the one-month anniversary of Cyclone Idai’s March 14 landfall, while the search for survivors continues in neighbouring Zimbabwe.
Freighters and other heavy sea vessels ply the lanes along Beira’s waterfront and debris from fallen trees and other windblown wreckage can be seen stacked neatly along downtown sidewalks. Beachfront bistros again are attracting enough business to cause traffic jams over the weekend.
With lack of clean drinking water, cases of cholera are mounting in the region after major destruction from the cyclone occurred last month.
When Cyclone Idai crashed ashore on March 14 in the vicinity of Beira in central Mozambique, it inundated an already flooded region, creating an inland sea that submerged homes, businesses, and roads and stranded people by the tens of thousands. The storm and subsequent floods killed at least 800 people in Mozambique and neighboring countries.
In the aftermath of the Idai Cyclone In Mozambique, Oxfam and the Ministry of Health have trained more than 60 community ‘activistas’ in Mozambique to promote public health advice to help stop the spread of cholera.
Cholera is easy to treat and prevent
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 more detailed information on the situation and response by sector. The next report will be issued on 8 April 2019.
• Distribution of seeds for the winter harvest will start on 8 April in Manica province.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 67 events in the region. This week’s edition covers key new and ongoing events, including:
Ebola virus disease outbreak in the Democratic Republic of the Congo Cyclone Idai in Southern Africa (Mozambique, Zimbabwe and Malawi)
Humanitarian crisis in Cameroon Humanitarian crisis in Ethiopia.
At least 142,327 people have been displaced from Cyclone Idai and the severe flooding. Most of the displaced are hosted in 139 transit centers set up in Sofala, Manica, Zambezia and Tete provinces.
Between 27 March and 6 April 2019, 2,772 cholera cases were recorded in Beira, Dondo, Buzi and Nhamatanda and five fatalities in Beira and Dondo.
According to the Government, as of 7 April, the death toll has risen to 602 people, 1 641 are reported injured and 160 927 are displaced across 164 accomodation centres located in four provinces (113 in Sofala, 43 in Manica, 5 in Tete and 3 in Zambezia). 111 163 were reported totally destroyed, 112 735 partially destroyed and 15 784 flooded.
Approximately 3,385 cholera / AWD cases including 19 deaths have been reported in 10 out of the 21 countries in Eastern and Southern Africa Region (ESAR); with an average Case Fatality Rate of 0.6%, since the beginning of 2019. These countries include; Angola, Burundi, Kenya, Malawi, Mozambique, Tanzania, Somalia, Uganda, Zambia and Zimbabwe. Kenya accounts for 35.4 % (1,198) of the total case load reported this year, followed by Mozambique at 31% (1,048).
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 more detailed information on the situation and response by sector. The next report will be issued on 7 April 2019.
The death toll has risen above 600 people, with 602 deaths recorded as of 6 April, according to the Government.
From the 10th to the 23rd of March, the Central region of Mozambique was hitted by heavy rain ( more than 200mm in 24 hours) and strong winds(180 - 220KM/H per hour), caused by TC IDAI mainly in the Provinces of Sofala, Manica, Zambezia, Tete and Inhambane.
Ongoing response activities
Humanitarian assistance to the affected people;
Assembly of cholera treatment Centers;
This document is to be used in conjunction with the Mozambique WASH cluster strategy and standards (Response to Idai).
In order to ensure an efficient cholera response, it is essential that there is effective coordination within the WASH sector and between the WASH and Health sectors. It is essential that cholera surveillance data with sufficient geographic detail is shared in a timely basis with the WASH sector to activate rapid response WASH activities.
SAFE WATER SUPPLY:
• An Emergency Telecommunications Cluster (ETC) team comprising partners Ericsson Response and the Government of Luxembourg deployed a satellite terminal in the forward operating base in Buzi to support operations.
• To date, 1,161 humanitarians are registered to access ETC Internet connectivity to enable them to do their work.
• The ETC is providing connectivity in two forward operations bases in Matarara and Buzi to support the increasing humanitarian response.
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 more detailed information on the situation and response by sector. The next report will be issued on 6 April 2019.
• Some 336 new cases of cholera and 3 deaths were reported on 5 April, in Beira (246 cases; 1 death); Nhamatanda (26 cases; 1 death) and Dondo (64 cases; 1 death).