Democratic Republic of the Congo
With 15,456 suspected cases incl.441 deaths (CFR of 2.85%) reported as per W27, the cholera epidemiological situation in DR Congo is greatly serious and worrisome. An impressive outbreak has started in North Kivu province, affecting mainly Goma, Karisimbi, Nyirango and Binza. Based on this specific situation, the regional cholera platform has looked for additional information and found out that, 1,464 cumulated cases incl. 12 deaths were reported in a 4-week time (between W24 and W28) in the sole North Kivu Province. Data show that a high proportion of deaths are children deaths (3 out of 5, and 1 pregnant woman). The overall cost for the response plan from the provincial government is estimated at US$ 532,345, with a funding gap of US$ 490,623 (92%).
In the reporting week ending on July 2nd, 186 suspected cholera cases including 10 deaths were reported overall Nigeria: 110 incl. 10 deaths (CFR=9.1%) from Zamfara state (neighbouring the country of Niger), 61 from Kwara state, 10 from Jigawa state and 5 from Kaduna state. The Regional cholera platform joins the Nigeria Center for Disease Control call for multi-sectoral collaboration between states and relevant Ministries, Agencies, and Departments (MDAs) and partner agencies in ensuring that a holistic approach is taken during preparation and response to outbreaks of epidemic prone diseases and public health events of concern. Out of the 28 LGA affected so far, 19 had been identified and recognized from the previous epidemiological studies as cholera hotspots. We thus insist on calling partners to support local, state and federal authorities in implementing effective and efficient controlling measures to prevent any further expansion. We also call on those sharing the same epidemiological basins, i.e. neighbouring states (Northern east states such as Borno and Yobe) and countries (Benin, Niger, Cameroon) to increase their vigilance and should any suspected cases be reported, initiate immediate action to prevent any additional outbreak.