Africa weekly emergency situation update Vol. 2, No. 42

Report
from World Health Organization
Published on 16 Nov 2009
General Context

Pandemic A (H1N1): Twenty nine (29) countries are now affected in our Region with a total case load of 14,950 and 103 deaths as of 16th November 2009 but the overall decline in incidence continues. Other humanitarian concerns include political crises in Guinea and Niger, disease outbreaks, the complex emergencies in central African countries and the food crises in the horn of Africa.

Situation in Countries

Acute crises

CAR: Small respite this week on the security situation, no violence reported. There is decrease of the number of refugees from DRC entering in Zemio following the the LRA rebels' attacks in Northern DRC. The last figure shows that 2,428 refugees are registered and assisted. The UN assessment mission reported an urgent need of anti malaria drugs. WHO has donated first aid drugs and medical other supplies.

Cape Verde: Outbreak of Dengue: As of 16 November 2009, the Ministry of Health has reported 16,744 suspected cases with 6 deaths in five islands ( Brava, Fogo, Maio, Sal and Santiago). WHO is working closely with the government to provide technical response to the outbreak, as well as to support coordination with other UN agencies, and partners (including NGOs) for the operational response. WHO has also deployed more than 20 experts to support on epidemiological and entomological surveillance, laboratory investigation, vector- control, clinical case management, social mobilization, logistics and information and technology.

Chad: Increased security incidents in the east with attacks, killing and abduction of humanitarian actors. Five NGOs and the ICRC in charge of about 37,000 people have decided to temporally suspend their activities in the east.

DRC: Security: Calm observed in Dongo, province of Equateur deserted by the population following the clashes on 29th October 2009 between local police and a group of youths. Many people displaced in the neighbouring areas and those refugees in the Republic of Congo are refusing to come back home fearing for their life. South Kivu: Ongoing fight between FDLR rebels and FARDC now involving the Mai Mai militias. At least 8 Mai Mai were killed on the 11th November 2009 by the FARDC during clashes in Swuima on the Uvira-Baraka road. Floods: More than 5,000 people were affected by heavy rains in Mbuji-Mayi and Muene Ditu, province of Eastern Kasaï; their houses were destroyed and are managing with very limited assistance. Cholera outbreaks: In South Kivu 306 new cases without death were reported in week 45 making a total of 9,492 cases with 97 deaths (CFR: 1%) from week 1 to 45 in 2009. In North Kivu, 102 new cholera cases without death were reported in week 45 making a total of 5,527 cases with 61 deaths (CFR: 1%) from week 1 to 45 in 2009.

Ethiopia: Food security situation: The latest update by the Somali Region Disaster Prevention and Preparedness Bureau (DPPB) reports a slight improvement in the food security situation in the region due to good performance of the rains, increased demand for livestock exports and ongoing relief food distributions. In Afar, the report recommends close monitoring of the food security situation due to the recurrent dry spells and absence of recovery periods between them. A joint Government and NGO rapid assessment conducted in Borena zone (Oromia) from 24 to 27 October 2009 has found the food and nutritional security of communities in all districts to be of concern due to the poor performance of the current rains. Acute Watery Diarrhoea (AWD) cases are declining across the country. However, active cases have been reported from Amibara, Gewani, Buremudaitu and Argoba districts of Afar region.

Kenya: Security: There is an increased cattle rustling in Isiolo District with at least 11 people killed in the week. Tension remains high even though there is an increased military deployment in the area. Floods: The intensity of the rains has reduced over the week in most parts of the country including the north-eastern province. The initial rains have led to the growth of Pasteur. However more rains have been forecast for the following week. The outbreak of cholera continues to spread across the country, cumulatively it has affected 49 districts with a total of 10,048 cases and 201 deaths (CFR: 2.0%) since January 2009. WHO has donated cholera response drugs and infusions to the north-eastern province and Lamu districts for the response.

Niger: Malnutrition: (No Update received). In week 44, a total of 4,729 cases with 14 deaths were reported. A total of 161,854 cases with 398 deaths were reported from 1st January to 1st November 2009 of which 41% were severe malnutrition cases. Political situation is still tensed but there is a renewal of talk among all parties.

Countries Under Surveillance

Guinea: We are still monitoring the political situation which so far remains tensed. Negotiation and peace talks between different protagonists have started.

Mozambique: Outbreak of Typhoid Fever in Neno and Tsangano districts: The latest update shows, a total of 327 cases with 34 deaths (CFR: 10.6%) as of 8th November 2009.

Uganda: Cholera outbreaks: In Busia district; 7 new cases with one death were reported, with a cumulative number of cases at 113 with 9 deaths (CFR 8%) in week 44. In Kampala district; 2 new cases were reported in week 43 with a cumulative number of 63 cases.

Zimbabwe: Cholera outbreak: In week 46, a total of 1 new case without death were reported. A cumulative 117 cases with 5 deaths (CFR: 4.3%) have been reported in 9 out of 62 districts in the country.

Pandemic A H1N1 in the WHO African Region: The incidence of confirmed cases has been slightly declining in the last few weeks. As of 16th November 2009, a total of 14,950 confirmed cases with 103 deaths have been reported in 29 countries.

MAP - Africa: Weekly Emergency Situation Update (16 - 22 Nov 2009)