UNDRO 91/0707
LATIN AMERICA CHOLERA EPIDEMIC
UNDRO SITUATION REPORT NO. 1
25 APRIL 1991
1. UPON RECOMMENDATION BY PAHO, UNDRO INTENDS TO DISSEMINATE HENCEFORTH REGIONAL REPORTS COVERING LATIN AMERICAN COUNTRIES AFFECTED BY CHOLERA. SEPARATE COUNTRY REPORTS WILL NO LONGER BE ISSUED. HOWEVER, SINCE LATEST REPORT ON PERU DATED 23 APRIL, THIS FIRST CONSOLIDATED REPORT DOES NOT INCLUDE PERU.
- BRAZIL
2. FIVE PROBABLE CASES HAVE BEEN REPORTED BY MINISTRY OF HEALTH. PATIENTS HOSPITALIZED IN TABATINGA (STATE AMAZONAS).
- CHILE
3. THREE CASES CONFIRMED IN METROPOLITAN REGION. MINISTRY OF HEALTH CARRYING OUT STRICT SURVEILLANCE OF DRINKING WATER SUPPLY SYSTEM IN METROPOLITAN REGION. SALES PROHIBITED OF CERTAIN PRE-PREPARED VICTUALS.
- COLOMBIA
4. ONE HUNDRED AND THIRTY-FOUR CASES CONFIRMED (MUNICIPALITIES: LETICIA, SAN JOSE DEL GUAVIARE, TUMACO AND SALAHONDA).
- ECUADOR
5. CASES CONFIRMED: 682 AND PROBABLE CASES: 2,489 (LOCATIONS: AZUAY, CHIMBORAZO, EL ORO, ESMERALDAS, GUAYAS, IMBABURA, LOJA, LOS RIOS, PICHINCHA).
6. DONORS ARE REQUESTED TO INFORM UNDRO AS SOON AS POSSIBLE ON PLEDGES, IMPENDING DELIVERY OR DELIVERY ALREADY CARRIED OUT OF EMERGENCY ASSISTANCE. QUANTITIES AND VALUES OF THIS ASSISTANCE SHOULD BE INDICATED. THIS INFORMATION WILL BE INCLUDED IN THE REPORT FOLLOWING ITS RECEIPT. PLEASE COPY TO:
UNDP/UNDRO RESIDENT REPRESENTATIVE IN BRASILIA/BRAZIL (TELEX 611243, FAX 2259339)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN SANTIAGO/CHILE (TELEX 240862, FAX 2325804)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN BOGOTA/COLOMBIA (TELEX 43316, FAX 2140110)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN QUITO/ECUADOR (TELEX 2177, FAX 441580)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN LIMA/PERU (TELEX 21101, FAX 404166)
WHO/PAHO IN WASHINGTON/USA (TELEX 64152, FAX 7754578)
ESSAAFI UNDRO GENEVA +
UNDRO 91/0730
LATIN AMERICA - CHOLERA EPIDEMIC
UNDRO SITUATION REPORT NO. 2
26 APRIL 1991
1. THIS SITREP CONTAINS A SUMMARY OF INTERNATIONAL ASSISTANCE REPORTED TO UNDRO SO FAR FOR VICTIMS OF EPIDEMIC, VALUED AT TOTAL USD 6.3 MILLION (EXCLUDING CONTRIBUTIONS IN KIND AND SERVICES FOR WHICH NO VALUE WAS GIVEN BY DONORS).
2. SO FAR CONTRIBUTIONS HAVE BEEN REPORTED ONLY FOR EQUADOR AND PERU AS LISTED BELOW:
|
3. ECUADOR
|
USD
|
|
|
GOVERNMENTS
|
||
|
NETHERLANDS
|
CASH THROUGH UNDRO AND PAHO
|
26,300
|
|
NORWAY
|
CASH FOR MEDICAL EQUIPMENT
|
62,195
|
|
UNITED KINGDOM
|
CASH THROUGH UNDRO AND PAHO
|
27,000
|
|
TOTAL, EQUADOR
|
115,495
|
|
|
4. PERU
|
||
|
UNITED NATIONS
|
||
|
UNICEF
|
ANTIBIOTICS, RINGER'S LACTATE, CASH
|
588,000
|
|
WHO/PAHO
|
MEDICAL TEAMS, MEDICINES, ORS
|
(++)
|
|
GOVERNMENTS
|
||
|
ARGENTINA
|
20 MT MEDICINES
|
(++)
|
|
AUSTRIA
|
MEDICAL SUPPLIES
|
(++)
|
|
BOLIVIA
|
MEDICAL TEAM, 3 MT MEDICINES
|
(++)
|
|
BRAZIL
|
SERUM AND ANTIBIOTICS
|
(++)
|
|
CANADA
|
CASH FOR ORS, MEDICINES AND SANITATION
|
412,109
|
|
CHILE
|
MEDICAL AID, MEDICINES
|
46,500
|
|
COLOMBIA
|
MEDICINES AND ORS
|
(++)
|
|
CUBA
|
MEDICINES AND AIRLIFT ANTIBIOTICS
|
45,000
|
|
DOMINICAN REP.
|
RELIEF FLIGHT (MEDICINES)
|
(++)
|
|
FRANCE
|
MEDICAL TEAM,MEDICAMENTS AND RELIEF ITEMS
|
39,682
|
|
GERMANY
|
ANTIBIOTICS AND WATER CHLORATION
|
343,333
|
|
HOLY SEE
|
CASH
|
30,000
|
|
IRELAND
|
CASH
|
35,398
|
|
ITALY
|
ANTIBIOTICS AND IV SETS
|
5,000
|
|
JAPAN
|
MEDICINES,MEDICAMENTS AND MED.SUPPLIES
|
532,101
|
|
MEXICO
|
MEDICINES
|
25,000
|
|
NETHERLANDS
|
CASH
|
59,524
|
|
NORWAY
|
CASH FOR MEDICINES AND FOOD
|
155,027
|
|
SPAIN
|
MEDICINES, RELIEF MATERIALS, TRANSPORT
|
331,082
|
|
SWEDEN
|
MEDICAL SUPPLIES AND TRANSPORTATION
|
140,628
|
|
SWITZERLAND
|
MEDICAL TEAM, MEDICAMENTS,RELIEF ITEMS
|
196,850
|
|
UK
|
EMERGENCY AID AND CASH
|
229,902
|
|
URUGUAY
|
MEDICINES AND MEDICAL SUPPLIES
|
(++)
|
|
USA
|
33 MT OF IV SOLUTION AND IV SETS
|
(++)
|
|
2 MEMBER TEAM TO INVESTIGATE TRANSMITION MODES
|
(++)
|
|
|
2 MEMBER TEAM TO RECOMM.ACT.TO IMPROVE WATER QUALITY
|
(++)
|
|
|
20,000 LITERS OF IV FLUIDS
|
10,000
|
|
|
ADMINISTRATION KITS
|
42,000
|
|
|
3 MEMBER TEAM TO ASSESS INSPECTION/FOOD FOR EXPORT
|
(++)
|
|
|
VENEZUELA
|
6,000 KG MEDICAMENTS
|
10,000
|
|
INTERGOVERNMENTAL ORGANIZATIONS
|
||
|
EEC
|
MEDICAL PROGRAMMES AND CASH
|
996,441
|
|
INT.AM.DEV.BANK
|
EQUIP.FOR WATER TREATMENT,ORS
|
1,000,000
|
|
NON-GOVERNMENTAL ORGANIZATIONS
|
||
|
AAA) RED CROSS
|
||
|
LRCS
|
SALINE SOLUTION,IV EQUIP., C.TETR. THROUGH RED CROSS COLUMBIA
|
(++)
|
|
AUSTRIA
|
MEDICAMENTS
|
19,231
|
|
COLOMBIA
|
MEDICINES
|
(++)
|
|
BBB) OTHER NON-GOVERNMENTAL ORGANIZATIONS
|
||
|
CARITAS NY
|
TETRACYCLINE,ORS,EDUCATION,SANITATION
|
(++)
|
|
CARITAS AUSTRIA
|
CASH
|
30,000
|
|
CARITAS GERMANY
|
CASH
|
203,000
|
|
CARITAS ITALIA
|
CASH
|
44,000
|
|
CARITAS NETHER.
|
CASH
|
25,000
|
|
CHRIST CHILD F.
|
MEDICAL SUPPLIES AND LAB. EQUIP.
|
15,250
|
|
CRS
|
CASH,MEDICINES,TRAINING,EDUCATION,ETC
|
56,376
|
|
CWS
|
CASH
|
5,000
|
|
DIAKONISCH.WERK
|
CASH FOR HEALTH PROGRAMMES
|
105,060
|
|
DRI/SANTA BARB.
|
MEDICAL AID
|
80,071
|
|
MEDECINS DU M.
|
MEDICAL TEAM, MEDICAMENTS
|
(++)
|
|
MSF FRANCE
|
6MT MEDICAMENTS
|
(++)
|
|
MSF/BELGIUM
|
MEDICAL TEAM
|
(++)
|
|
NORTH.MED.TEAMS
|
MEDICAL SUPPLIES
|
10,000
|
|
OPERATION USA
|
MEDICAL SUPPLIES
|
24,526
|
|
SAVE THE CHILD.
|
ANTIBIOTICS
|
1,600
|
|
SEC.CATH.FRANCE
|
CASH
|
75,950
|
|
SECOURS CATH.
|
3MT MEDICINES
|
64,476
|
|
WORLD VISION
|
CASH
|
90,000
|
|
ADVENIAT/GERM.
|
CASH
|
68,000
|
|
TOTAL, PERU
|
6,182,117
|
(++) VALUE NOT REPORTED
2. DONORS ARE REQUESTED TO INFORM UNDRO AS SOON AS POSSIBLE ON PLEDGES, IMPENDING DELIVERY OR DELIVERY ALREADY CARRIED OUT OF EMERGENCY ASSISTANCE. QUANTITIES AND VALUES OF THIS ASSISTANCE SHOULD BE INDICATED. THIS INFORMATION WILL BE INCLUDED IN THE REPORT FOLLOWING ITS RECEIPT. PLEASE COPY TO:
UNDP/UNDRO RESIDENT REPRESENTATIVE IN BRASILIA/BRAZIL (TELEX 611243, FAX 2259339)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN SANTIAGO/CHILE (TELEX 240862, FAX 2325804)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN BOGOTA/COLOMBIA (TELEX 43316, FAX 2140110)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN QUITO/ECUADOR (TELEX 2177, FAX 441580)
UNDP/UNDRO RESIDENT REPRESENTATIVE IN LIMA/PERU (TELEX 21101, FAX 404166)
WHO/PAHO IN WASHINGTON/USA (TELEX 64152, FAX 7754578)
ESSAAFI UNDRO GENEVA 414242 DRO CH +
UNDRO 91/0751
LATIN AMERICA - CHOLERA EPIDEMIC
UNDRO SITUATION REPORT NO. 3
2 MAY 1991
BRAZIL
1. FOUR CASES CONFIRMED AND HOSPITALIZED IN AMAZON (TABATINGA, BENJAMIN CONSTANT). MEDICAL TEAMS, MEDICINES SENT TO AFFECTED AREA, BORDERING PERU.
CHILE
2. 34 CASES AND ONE DEATH IN SANTIAGO AND ANTOFAGASTA.
COLOMBIA
3. NUMBER OF CASES INCREASED TO 411. FIVE DEATHS REPORTED (THREE CONFIRMED).
ECUADOR
4. NUMBER OF CONFIRMED CASES INCREASED TO 1,107 WITH 140 DEAD GEOGRAPHICALLY SPREAD AS FOLLOWS:
|
PROBABLE
|
CONFIRMED
|
TOTAL
|
DEAD
|
|
|
EL ORO
|
1,467
|
315
|
1,782
|
14
|
|
GUAYAS
|
1,002
|
564
|
1,566
|
39
|
|
LOS RIOS
|
479
|
83
|
562
|
16
|
|
IMBABURA
|
278
|
1
|
279
|
20
|
|
CHIMBORAZO
|
261
|
51
|
312
|
26
|
|
ESMERALDAS
|
303
|
2
|
305
|
11
|
|
LOJA, AZUAY, ARCHI, PICHINCHA, MANABI, CANAR, BOLIVAR, TUNGURAHUA
|
108
|
91
|
199
|
14
|
|
3,898
|
1,107
|
5,005
|
140
|
PERU
5. SINCE LAST UNDRO SITREP DATED 23 APRIL, NUMBER OF PROBABLE CASES INCREASED BY 15 PERCENT, HOSPITALIZED AND DEATHS BY 19 PERCENT. HOWEVER, RATE OF INFECTION IS GRADUALLY DECREASING.
|
PROBABLE CASES
|
HOSPITALIZED
|
DEAD
|
|
|
ANCASH
|
17,438
|
5,960
|
49
|
|
AREQUIPA
|
4,968
|
959
|
18
|
|
CAJAMARCA
|
7,416
|
4,049
|
353
|
|
ICA
|
3,005
|
879
|
20
|
|
LA LIBERTAD
|
26,488
|
11,062
|
152
|
|
LAMBAYEQUE
|
15,497
|
9,918
|
90
|
|
LORETO
|
1,600
|
988
|
87
|
|
PIURA
|
16,999
|
4,450
|
100
|
|
SAN MARTIN
|
1,589
|
544
|
78
|
|
TUMBES
|
1,030
|
679
|
4
|
|
LIMA-CALLAO
|
70,550
|
23,644
|
184
|
|
DEPTS WITH LESS THAN 1,000 PROBABLE CASES EACH
|
2,675
|
51,392
|
109
|
|
169,255
|
64,524
|
1,244
|
6. FOR CO-ORDINATION PURPOSES, PLEASE INFORM UNDRO IMMEDIATELY AS INDICATED BELOW OF PLEDGES/CONTRIBUTIONS (SPECIFYING VALUE BY ITEM). COPY SHOULD BE SENT TO WHO/PAHO IN WASHINGTON/ USA (TELEX 64152, FAX 7754578).
ESSAAFI UNDRO GENEVA +
UNDRO TELEPHONE NO: +41-22-731 02 11
UNDRO EMERGENCY TEL. NO. (OUTSIDE WORKING HOURS): +41-22-733 20 10
UNDRO DESK OFFICER: FABRIZIO GENTILONI (EXT. 3512)
PRESS TO CONTACT UNDRO SPOKESPERSON: M. KHATIB (EXT. 2856)
UNDRO TELEX: 414242 DRO CH
UNDRO FAX: +41-22-733 56 23
UNIENET E-MAIL: ID UNX008
DPR 310 PER'91 (1), DPR 310 BRA, CHI, COL'91 (2), ECU'91 (1)
UNDRO 91/0797
LATIN AMERICA - CHOLERA EPIDEMIC
UNDRO SITUATION REPORT NO. 4
8 MAY 1991
BRAZIL
1. AMAZONAS: 0 DEATHS, 6 CASES CONFIRMED, 4 HOSPITALIZED
CHILE
2. SANTIAGO: 32 CASES CONFIRMED + 1 DEATH
ANTOFAGASTA: 3 CASES CONFIRMED
COLOMBIA
3. AFTER VERIFICATION, NUMBER OF CONFIRMED CASES IS 189 WITH 5 DEATHS, MAINLY IN DEPT OF NARINO.
ECUADOR
(+ FIGURES IN PARENTHESES INDICATE NUMERIC INCREASE IN CASES OVER THOSE REPORTED OUR LAST SITREP)
|
4. PROBABLE CASES
|
4,822
|
(+ 924)
|
|
CONFIRMED CASES
|
1,567
|
(+ 460)
|
|
TOTAL
|
6,389
|
(+ 1,386)
|
|
DEAD
|
169
|
(+ 29)
|
5. MOST NOTABLE WAS AN INCREASE OF CONFIRMED CASES IN THE PROVINCES OF GUAYAS (+ 180) AND CHIMBORAZO (+ 280) AND OF DEATHS IN IMBABURA (+ 11), CHIMBORAZO (+ 9), AND GUAYAS (+ 7).
PERU
6. IN A MEETING WITH UNDRO AT GENEVA TODAY, HEALTH MINISTER EXPRESSED CONCERN OVER SITUATION IN AMAZON, WHERE DISEASE CAN SPREAD FAST BUT TREATMENT IS HINDERED BY COMMUNICATIONS DIFFICULTIES. HE STRESSED CONTINUING URGENT NEED FOR MEDICAMENTS, ANTIBIOTICS AND MEDICAL SUPPLIES FOR WHICH NATIONAL PRODUCTION IS INSUFFICIENT. HE ADDED THAT PERU WAS FINALIZING PROJECTS FOR STRENGTHENING HEALTH AND SANITATION INFRASTRUCTURE, SO AS TO COMBAT ROOT CAUSES OF EPIDEMIC.
7. STATUS OF EPIDEMIC IS AS FOLLOWS:
|
TOTAL PROBABLE CASES
|
171,204
|
(+ 1,949)
|
|
HOSPITALIZED
|
65,052
|
(+ 528)
|
|
DEAD:
|
1,243
|
(NO CHANGE)
|
8. THERE HAS BEEN VERY LITTLE CHANGE IN MOST DEPARTMENTS, EXCEPT FOR PIURA WHICH IS REPORTING ALMOST 2,000 NEW PROBABLE CASES AND OVER 700 MORE HOSPITALIZED.
9. IN SPITE OF A 6-WEEK-LONG STRIKE BY NURSES AND OTHER HOSPITAL/ADMINISTRATIVE WORKERS, EMERGENCY SERVICES IN PUBLIC HOSPITALS ARE MAKING EFFORTS TO TREAT CHOLERA PATIENTS.
CONTRIBUTIONS (SINCE SITREP NO.3 OF 2 MAY)
|
NON-GOVERNMENTAL ORGANIZATIONS
|
USD
|
|
|
CHURCH WORLD SERVICE
|
TO PREDES
|
5,000
|
|
DIAKONISCHES WERK (GERMANY)
|
FOR CHILE
|
5,000
|
|
FOR PERU
|
103,530
|
10. FOR CO-ORDINATION PURPOSES, PLEASE INFORM UNDRO IMMEDIATELY AS INDICATED BELOW OF PLEDGES/CONTRIBUTIONS (SPECIFYING VALUE BY ITEM). COPY SHOULD BE SENT TO WHO/PAHO IN WASHINGTON/USA TELEX 64152, FAX 7754578).
ESSAAFI UNDRO GENEVA +
UNDRO TELEPHONE NO: +41-22-731 02 11
UNDRO EMERGENCY TEL. NO. (OUTSIDE WORKING HOURS): +41-22-733 20 10
UNDRO DESK OFFICER: FABRIZIO GENTILONI (EXT. 3512)
PRESS TO CONTACT UNDRO SPOKESPERSON: M. KHATIB (EXT. 2856)
UNDRO TELEX: 414242 DRO CH
UNDRO FAX:: +41-22-733 56 23
UNIENET E-MAIL: ID UNX008
DPR 310 PER'91(1)
DPR 310 BRA
DPR 310 CHI
DPR 310 COL'91(2)
DPR 310 ECU'91(1)
UNDRO 91/0841
LATIN AMERICA - CHOLERA EPIDEMIC
UNDRO SITUATION REPORT NO. 5
17 MAY 1991
REGIONAL CO-OPERATION
1. DRAFT 3-YEAR PLAN ENTITLED ANDEAN EMERGENCY HEALTH PROGRAMME - CHOLERA AMOUNTING TO USD 264 MILLION BEING REVIEWED IN CARACAS TODAY BY PRESIDENTS OF ANDEAN PACT COUNTRIES (BOLIVIA, COLOMBIA, ECUADOR, PERU AND VENEZUELA).
2. ON 15 MAY, PERU AND BRAZIL SIGNED PACT ON JOINT ANTI-CHOLERA STRATEGY, INCLUDING DISPATCH OF BRAZILIAN DOCTORS TO PERUVIAN AMAZON FRONTIER REGION.
CHILE
(+ FIGURES IN PARENTHESES INDICATE NUMERIC INCREASE OVER THOSE REPORTED IN UNDRO SITREP NO.4 OF 8 MAY 1991)
3. 39 CASES ( + 4) AND ONE DEATH CONFIRMED, MAINLY IN SANTIAGO REGION.
COLOMBIA
4. THERE ARE 802 PROBABLE CASES, OF WHICH 229 ARE CONFIRMED CASES (+ 40) WITH 10 DEATHS (+ 5), MAINLY IN DEPT OF NARINO.
ECUADOR
|
5. PROBABLE CASES
|
7,223
|
(+ 2,401)
|
|
CONFIRMED CASES
|
2,289
|
(+ 722)
|
|
TOTAL
|
9,512
|
(+ 3,123)
|
|
DEAD
|
194
|
(+ 25)
|
6. INCREASE OF CONFIRMED CASES WAS MOST NOTABLE IN PROVINCES OF GUAYAS (+ 432), EL ORO (+ 105) AND CHIMBORAZO (+ 78). IN ADDITION TO THESE, ESMERALDAS, IMBABURA AND LOS RIOS REGISTERED MAIN INCREASE OF PROBABLE CASES.
PERU
7. STATUS OF EPIDEMIC IS AS FOLLOWS:
|
TOTAL PROBABLE CASES
|
177,103
|
(+ 5,899)
|
|
HOSPITALIZED
|
68,589
|
(+ 3,537)
|
|
DEAD
|
1,300
|
(+ 57)
|
8. NUMBER OF NEW CASES IN MAY SIGNIFICANTLY LOWER THAN EARLIER. NEVERTHELESS, UNLESS MAJOR EFFORT IS MADE TO IMPROVE SANITARY CONDITIONS, VULNERABILITY TO CHOLERA AND OTHER INFECTIOUS DISEASES WILL CONTINUE. IT HAS BEEN ESTIMATED THAT ONLY 40 PERCENT OF PERU'S INHABITANTS HAVE SEWAGE FACILITIES.
UNITED STATES
9. CENTER FOR DISEASE CONTROL (CDC) REPORTED 14 CHOLERA CASES OF WHICH ELEVEN HAVE BEEN CONFIRMED.
CONTRIBUTIONS (SINCE SITREP NO.4 OF 8 MAY)
|
UNITED NATIONS
|
USD
|
|
|
UNICEF
|
MEDICAL SUPPLIES AND CASH FOR EDUCATION TO ECUADORIAN GOVT
|
386,742
|
|
GOVERNMENTS
|
||
|
BRAZIL
|
MEDICAL AID TO PERU
|
200,000
|
|
SPAIN
|
(SUMMARY OF AID SO FAR):
|
|
|
FOUR RELIEF FLIGHTS AND ONE SEA SHIPMENT TO PERU
|
2,214,286
|
|
|
ONE RELIEF FLIGHT TO BOLIVIA
|
33,333
|
|
|
ONE RELIEF FLIGHT TO ECUADOR
|
26,190
|
|
|
INTER-GOVERNMENTAL ORGANIZATIONS
|
||
|
EEC
|
CASH TO NGO'S FOR SOUTH AMERICA
|
609,756
|
|
NON-GOVERNMENTAL ORGANIZATIONS
|
||
|
WORLD VISION
|
EMERGENCY RESPONSE FOR LATIN AMERICA
|
33,980
|
10. FOR CO-ORDINATION PURPOSES, PLEASE INFORM UNDRO IMMEDIATELY AS INDICATED BELOW OF PLEDGES/CONTRIBUTIONS (SPECIFYING VALUE BY ITEM). COPY SHOULD BE SENT TO WHO/PAHO IN WASHINGTON/USA TELEX 64152, FAX 7754578).
ESSAAFI UNDRO GENEVA +
UNDRO TELEPHONE NO: +41-22-731 02 11
UNDRO EMERGENCY TEL. NO. (OUTSIDE WORKING HOURS): +41-22-733 20 10
UNDRO DESK OFFICER: FABRIZIO GENTILONI (EXT. 3512)
PRESS TO CONTACT UNDRO SPOKESPERSON: M. KHATIB (EXT. 2856)
UNDRO TELEX: 414242 DRO CH
UNDRO FAX:: +41-22-733 56 23
UNIENET E-MAIL: ID UNX008
DPR 310 PER'91(1)
DPR 310 BRA
DPR 310 CHI
DPR 310 COL'91(2)
DPR 310 ECU'91(1)
UNDRO 91/0995
LATIN AMERICA - CHOLERA EPIDEMIC
UNDRO SITUATION REPORT NO. 6
13 JUNE 1991
GENERAL
1. AT LEAST 226,000 PEOPLE FELL SICK FROM CHOLERA AND 2,099 DIED IN SOUTH AMERICA SINCE THE BEGINNING OF THE EPIDEMIC.
2. CURRENT SITUATION VARIES COUNTRY BY COUNTRY. IN PERU, GENERAL TREND AND EPIDEMIOLOGICAL INDICATORS SUGGEST A REDUCTION OF THE EPIDEMIC, FACILITATED BY CHANGE OF SEASON IN IN COASTAL REGIONS: HOWEVER, THERE ARE STILL OUTBREAKS INLAND, PARTICULARLY IN AMAZONIAN REGION WHERE DEATH RATE IS HIGH. IN BRAZIL (AND CHILE), AND ESPECIALLY IN ECUADOR AND COLOMBIA, SITUATION REQUIRES CAUTIOUS MONITORING.
BRAZIL
3. TOTAL OF 15 CASES (OF WHOM SEVEN IMPORTED), INCLUDING FIVE HOSPITALIZED, ACCOUNTED FOR IN AMAZONAS AND MATO GROSSO.
CHILE
4. 40 CASES AND ONE DEATH CONFIRMED, MAINLY IN SANTIAGO REGION.
COLOMBIA
(+ FIGURES IN PARENTHESES INDICATE NUMERIC INCREASE OVER THOSE REPORTED IN UNDRO SITREP NO. 5 OF 17 MAY 1991).
5. THERE ARE 2,199 PROBABLE CASES (+1,397), OF WHICH 555 ARE CONFIRMED (+326) WITH 29 DEATHS (+19), MAINLY IN DEPTS OF NARINO, CAUCA AND VALLE. EPIDEMIC HEADING NORTH FROM ECUADORIAN BORDER.
ECUADOR
|
6. HOSPITALIZED CASES
|
15,131
|
|
|
AMBULATORY CASES
|
5,057
|
|
|
TOTAL
|
20,188
|
(+ 10,676)
|
|
DEAD
|
343
|
(+ 149)
|
7. INCREASE OF CASES WAS MOST NOTABLE IN LOW-LAND AND COASTAL PROVINCES OF GUAYAS (+3,047), ESMERALDAS (+1,564), IMBABURA (+1,281) AND LOS RIOS (+1,172). PROVINCES OF EL ORO AND ESMERALDAS REGISTERED HIGHEST INCIDENCE OF DISEASE.
PERU
8. STATUS OF EPIDEMIC IS AS FOLLOWS:
|
TOTAL PROBABLE CASES
|
203,628
|
|
HOSPITALIZED
|
79,754
|
|
DEAD
|
1,726
|
9. DEPARTMENTS WITH HIGHEST INCIDENCE OF DISEASE ARE, IN THE ORDER, LA LIBERTAD, LAMBAYEQUE, ANCASH, PIURA, TUMBES AND LIMA-CALLAO. A NUMBER OF CASES IS NOT ACCOUNTED FOR DUE TO LACK OF ACCESS TO HEALTH FACILITIES/SERVICES.
10. HEALTH AUTHORITIES MAKING EFFORTS TO STRENGTHEN MEDICAL SERVICES, SANITATION AND PUBLIC EDUCATION/INFORMATION. IT IS INDISPENSABLE THAT DONORS PROVIDE GENEROUS AND CONTINUING SUPPORT IN ORDER TO REDUCE THE NUMBER OF DEATHS AND TO DEAL WITH THE STILL THREATENING ROOT CAUSES OF THE EPIDEMIC.
CONTRIBUTIONS
11. CONTRIBUTIONS REPORTED TO UNDRO SINCE BEGINNING OF EPIDEMIC TOTAL AT LEAST USD 9 MILLION. FOLLOWING IS A LIST OF THESE DONATIONS BY DONOR. UNLESS SPECIFIED OTHERWISE, CONTRIBUTIONS WERE FOR PERU.
|
UNITED NATIONS
|
USD
|
|
|
UNICEF
|
RINGER LACTATE, ANTIBIOTICS, EMERGENCY/EDUCATIONAL PROGRAMMES IN PERU AND ECUADOR
|
975,000
|
|
WHO/PAHO
|
RELIEF CO-ORDINATION AND TECHNICAL CO-OPERATION IN AFFECTED COUNTRIES, MEDICAL TEAMS AND SUPPLIES, CONVENING OF SEMINARS
|
|
|
UNDRO
|
ISSUANCE OF INTERNATIONAL APPEAL, DISSEMINATION
OF INFO, REPORTING TO DONORS |
|
|
GOVERNMENTS
|
||
|
ARGENTINA
|
20 MT OF MEDICINES TO PERU
|
|
|
AUSTRIA
|
MEDICAL SUPPLIES TO PERU
|
|
|
BOLIVIA
|
MEDICAL TEAM, 3MT MEDICINES
|
|
|
BRAZIL
|
MEDICAL AID (PERSONNEL AND SUPPLIES)
|
200,000
|
|
CANADA
|
GRANTS TO PAHO, UNICEF AND NGOS' FOR SANITATION AND MEDICAL CARE
|
412,000
|
|
CHILE
|
MEDICAL AID
|
47,000
|
|
COLOMBIA
|
MEDICINES AND ORS TO PERU
|
|
|
CUBA
|
AIRLIFT OF IV FLUIDS AND ANTIBIOTICS
|
45,000
|
|
DOMINICAN REPUBLIC
|
RELIEF FLIGHT (MEDICINES)
|
|
|
FRANCE
|
EPIDEMIOLOGIST TEAM, 1MT MEDICINES
|
40,000
|
|
GERMANY
|
ANTIBIOTICS, WATER CHLORINATION, SUPPORT TO HEALTH SERVICES (INCLUDING USD 29,240 FOR BRAZIL)
|
373,000
|
|
HOLY SEE
|
CASH
|
30,000
|
|
IRELAND
|
CASH THROUGH UNDRO AND PAHO
|
30,000
|
|
ITALY
|
ANTIBIOTICS AND IV SETS
|
5,000
|
|
JAPAN
|
MEDICINES AND MEDICAL SUPPLIES
|
532,000
|
|
MEXICO
|
MEDICINES
|
25,000
|
|
NETHERLANDS
|
CASH TO PAHO FOR PERU, TO UNDRO AND PAHO FOR ECUADOR
|
83,000
|
|
NORWAY
|
CASH THROUGH NGOS'
|
155,000
|
|
SPAIN
|
FOUR RELIEF FLIGHTS AND ONE SEA SHIPMENT TO PERU, ONE RELIEF FLIGHT TO BOLIVIA, ONE TO ECUADOR
|
1,792,000
|
|
SWEDEN
|
SUPPORT TO NGOS' PROGRAMMES
|
141,000
|
|
SWITZERLAND
|
MEDICAL TEAM, MEDICINES AND SUPPLIES
|
197,000
|
|
UK
|
EMERGENCY AID FOR PERU, MAINLY THROUGH PAHO, AND THROUGH UNDRO/PAHO FOR ECUADOR
|
256,000
|
|
URUGUAY
|
MEDICINES AND SUPPLIES
|
|
|
USA
|
33 TONS IV SOLUTIONS AND SETS, MEDICAL, EPIDEMIOLOGIST, SANITATION AND ASSESSMENT TEAMS, 70 TONS, MEDICINES AND SUPPLIES (BY GALAXY C-5)
|
|
|
VENEZUELA
|
6 MT MEDICINES
|
10,000
|
|
INTER-GOVERNMENTAL ORGANIZATIONS
|
||
|
EEC
|
CASH TO NGO'S FOR SOUTH AMERICA
|
1,606,000
|
|
INTER-AMERICAN DEVELOPMENT BANK
|
SUPPORT TO HEALTH AND SANITATION PROGRAMMES
|
1,000,000
|
|
NON-GOVERNMENTAL ORGANIZATIONS
|
||
|
ADVENIAT (GERMANY)
|
CASH
|
68,000
|
|
LRCS
|
10,000 SALINE SOLVENTS, 2,000 IV SETS, SUPPLIES
|
|
|
RED CROSS OF AUSTRIA, COLOMBIA
|
MEDICINES
|
19,000
|
|
CARE USA
|
SUPPLIES, SANITATION, EDUCATION
|
|
|
CARITAS AUSTRIA, GERMANY, ITALY, NETHERLANDS
|
302,000
|
|
|
CHRISTIAN CHILDRENS FUND
|
SUPPLIES
|
15,000
|
|
CRS
|
MEDICINES, SUPPLIES, TRAINING
|
56,000
|
|
CWS
|
CASH
|
10,000
|
|
DIAKONISCHE WERK
|
CASH FOR HEALTH PROGRAMMES INCLUDING USD 5,000 FOR CHILE)
|
214,000
|
|
DIRECT RELIEF FOUNDATION (USA)
|
MEDICINES
|
80,000
|
|
LUTHERAN WORLD RELIEF
|
HEALTH KITS AND BLANKETS
|
|
|
MAP INTERNATIONAL (USA)
|
SUPPLIES
|
|
|
MDM
|
TEAM WITH SUPPLIES
|
|
|
MSF BELGIUM, FRANCE
|
TEAM AND SUPPLIES
|
|
|
NORTHERN MEDICAL TEAMS
|
SUPPLIES
|
10,000
|
|
OPERATION USA
|
SUPPLIES
|
25,000
|
|
SAVE THE CHILDREN
|
ANTIBIOTICS
|
2,000
|
|
SECOURS CATHOLIQUE
|
CASH
|
141,000
|
|
WORLD VISION
|
EMERGENCY RESPONSE FOR LATIN AMERICA
|
124,000
|
|
TOTAL, ALL DONORS
|
(EXCLUDING CONTRIBUTIONS FOR WHICH NO VALUE WAS REPORTED)
|
9,020,000
|
12. AS AGREED WITH WHO/PAHO, THIS IS THE LAST UNDRO SITREP ON THIS EMERGENCY, UNLESS UNFORESEEN DEVELOPMENTS ARISE.
13. FOR RECORDING PURPOSES, PLEASE CONTINUE TO INFORM UNDRO AS INDICATED BELOW OF PLEDGES/CONTRIBUTIONS (SPECIFYING VALUE BY ITEM). COPY SHOULD BE SENT TO WHO/PAHO IN WASHINGTON/USA TELEX 64152, FAX 7754578).
ESSAAFI UNDRO GENEVA +
UNDRO TELEPHONE NO: +41-22-731 02 11
UNDRO EMERGENCY TEL. NO. (OUTSIDE WORKING HOURS): +41-22-733 20 10
UNDRO DESK OFFICER: FABRIZIO GENTILONI (EXT. 3512)
PRESS TO CONTACT UNDRO SPOKESPERSON: M. KHATIB (EXT. 2856)
UNDRO TELEX: 414242 DRO CH
UNDRO FAX:: +41-22-733 56 23
UNIENET E-MAIL: ID UNX008
DPR 310 PER'91(1) DPR 310 BRA DPR 310 CHI DPR 310 COL'91(2)
DPR 310 ECU'91(1)