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What happened, where and when?
On 16 September 2022, the Ethiopia Ministry of Health declared a cholera outbreak in the Harana Buluk and Berbere woredas of Bale Zone, Oromia Region. The first case was reported on 27 August 2022, in Harana Buluk woreda of Bale zone in Southern Oromia region of Ethiopia. From 17 to 20 September 2022, the Bale zone of the ERCS conduced a rapid assessment which was submitted to the ERCS Head Quarters on 25 September 2022. The assessment findings reveal that a total of 102 cases and one death from both woreda’s had been reported at that time in Harana Buluk And Berbere.
Since December, cholera outbreak cases have been on increase all though the outbreak is reported out of 66 kebeles of around 8 woredas across Bale, Guji and West Arsi zones of Oromia and 2 woredas of Liban zone of Somali region. OCHA report of 30 January 2023, was reporting 1,055 cholera cases with 28 associated deaths.
Latest Information made available by MoH and field have shown cholera situation as of 12 February (Week 6) shown the disease is still in an increasing trend with Goro being on top of the districts with more cases (up to 30 kebele affected and part of the top 3 affected in Oromia). The situation needing National society to scale-up its capacity to respond. Active cholera outbreak is ongoing in 12 woredas in Oromia, 10 woredas of Harena Buluk, Berbere, Gura Damole, Meda wolabo, Goro Bale Zone, GirjaGuji zone, Nensebo West Arsi, Dawa Kachen and Ginir East Bale. In Somali regions 2 woredas of Kersadula and Guradamole. Somali in Liben zone, 120 kebeles are cholera outbreak affected as of reporting 14th February 2023. Cholera outbreak was also reported from Internal Displaced Population (IDP): 191 reported so far, no new case from IDP. Overall, more than 1 million people are now at risk in the 2 regions, Oromia being the most vulnerable as of now.
The expanded outbreak to other woredas which poses a high risk of spreading further especially in Goro worada that has reported 216, 13 case admitted at the CTC and 4 deaths as per the Goro health center report 17/2/2023. This town has active economic activities that involves 7 woradas that stands risk of being infected. It also has a previous history of difficulty in controlling of cases when cholera erupts in Goro Worada because of the high business connectivity and interaction with neighboring Werodas, zones and even cities including Adis A populations at risk being 248,517 in Berber and Goro, cases are increasing in Goro worada, there is still fear of expansion of cases to adjacent waradas namely Sinana, D/Kachen and Ginir. The cholera outbreak is spreading very first and so far, has affected 30 kebele in Goro.
According to EPHI_PHEOC-Public Health Emergency Response weekly bulletin_14 As of 18 June 2023, a total of 93 Woredas were affected (43 from Oromia, 31 fromSNNPRegion,6 from Somali Region and 13 from Sidama Region) were affected since 27 August 2022. By 18 June 2023, the cholera outbreak was ongoing in 71 Woredas (26 Woredas of Oromia, 29 Woredas of SNNP, 12 Woredas of Sidama and 4 Woredas of Somali regions. East Bale (Ginir, Laga Hida, Swena) Since 01 July 2023, newly 344 cases (53% SNNP, 35.5% Oromia, 9.6% Sidama and 2%Somali Region) and four new deaths also reported across the affected regions. Regional case contribution shows, Oromia Region (54% and 51.9%), SNNP Region (31.5%and34.3%), Somali Region (12.5% and 11.8%) and Sidama Region (1.9% and 2.1%) among the total casesfromthe beginning and active Woredas respectively.
The NS response to date has continue in the Harana Buluk And Berbere but the trend of the disease trend require more support and extending presence of ERCS in the affected regions. Zonal health department requested ERCS to further support in response of cholera outbreak in the new affected worada of Goro. This revision of the DREF launched on 4-10-2022 will thus extend the current support to meet the imperative.