Bulletin: Cholera and AWD Outbreaks in Eastern and Southern Africa, Regional Update for 2018 - as of 6 April 2018

Report
from UN Children's Fund
Published on 06 Apr 2018 View Original

Highlights

  • More than 13,118 cholera / AWD cases and 201 deaths (Case Fatality Rate, 1.5%) have been reported in 10 of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2018. These countries include; Angola, Kenya, Malawi, Mozambique, Rwanda, Somalia, Tanzania, Uganda, Zambia and Zimbabwe.

  • Currently, 8 out of the 21 countries in ESAR are reporting active transmission of cholera / AWD (Somalia, Kenya, Tanzania, Angola, Malawi, Mozambique, Uganda and Zambia). During the week under review, Zambia reported the highest number of new cases (231 cases), followed by Somalia (151 cases) and Uganda (117 cases including 1 death). 6 out of the 8 countries with active transmission have recorded CFR above 1% in 2018, with Kenya (CFR, 2.1%) and Uganda (CFR, 2.0%) recording the highest CFR.

  • Zambia: A decline in the epidemic trend has been noted. During week 12 (week ending 25 March 2018), 231 new cases including 4 deaths (CFR, 1.7%) were reported compared to 291 cases including 7 deaths (CFR, 2.4%) reported in week 11 (week ending 18 March 2018). These new cases are concentrated in three districts; Lusaka (227 and 4 deaths), Central (1) and Southern (1). Cumulatively, 5,190 cases including 103 deaths have been reported, as from October 2017. Of these, a total of 3,382 cases and 43 deaths have been reported since the beginning of 2018.

  • Somalia: An increase in the epidemic trend has been noted. During week 12, 151 new cases were reported compared to 136 cases reported in week 11. New cases emerged from 4 regions, namely Banadir (48), Middle Shabelle (37), Lower Jubba (61) and Hiraan (5). Cumulatively, 1,763 cases including 9 deaths have been reported, as from December 2017. Of these, a total of 1,450 cases and 8 deaths have been reported since the beginning of 2018.

  • Uganda: A decline in the epidemic trend has been noted. During week 13 (week ending 1 April 2018), 117 new cases including 1 death (CFR, 0.9%) were reported compared to 155 cases including 3 deaths (CFR, 1.9%) reported in week 12. The majority of the affected people are refugees from the Democratic Republic of the Congo.

  • Kenya: 37 new cases were reported in week 13 compared to 183 cases reported in week 12. New cases emerged from 4 Counties, namely Turkana (25), West Pokot (8), Trans Nzoia (2) and Garissa (2). Cumulatively a total of 6,632 cases including 139 deaths have been reported, as from October 2016. Of these, a total of 2,333 cases and 50 deaths have been reported since the beginning of 2018.

  • Malawi: 30 new cases were reported in week 13 compared to 31 cases including 1 death (CFR, 3.2%) reported in week 12. The new cases emerged from two districts, namely Lilongwe (28) and Salima (2). Cumulatively a total of 874 cases and 15 deaths have been reported, as from November 2017. Of these, 719 cases and 14 deaths have been reported since the beginning of 2018.

  • Angola: 23 new cases were reported in week 12 compared to 40 cases reported in week 11. These new cases are concentrated in two provinces, namely Uige (19) and Cabinda (4). Cumulatively, 885 cases including 15 deaths have been reported, as from 15 December 2017. Of these, 814 cases and 9 deaths have been reported since the beginning of 2018.

  • Mozambique: A new outbreak has been reported in a new district in Cabo Delgado since 16 February 2018. 10 new cases were reported in week 12 compared to 79 cases reported in week 11. Cumulatively, 2,316 cases and 3 deaths have been reported, as from August 2017. Of these, 744 cases and 3 deaths have been reported since the beginning of 2018.

  • Tanzania: A decline in the epidemic trend has been noted. During week 14 (week ending 8 April 2018), 5 new cases were reported in Chamwino district in Dodoma region, compared to 3 cases reported in week 13. Cumulatively, 30,065 cases including 493 deaths have been reported in Tanzania mainland, as from August 2015. Of these,1,434 cases and 27 deaths have been reported since the beginning of 2018.