Situation Report for Acute Watery Diarrhea/Cholera, Epidemiological Week 47 (19 - 25 November 2018)
• There was a decrease in the number of AWD/Cholera cases reported from 27 in week 46 to 18 in week 47.
• No new death was reported in week 47.
• A cumulative total of 6,605 cases including 45 deaths have been reported since December 2017
• The cholera outbreak has been contained in 4 regions, however active transmission is still reported in Banadir region
• A total of 2101 people aged 1 year and above received 1st dose of OCV in 4 IDPs in Banadir and Afgoye
• 18 new cases with no new death in week 47
• 61% of the new cases were female
• 50% of the cases were 5years and below.
• Cases reported in week 47 did not receive cholera vaccine in 2017
• 23 districts in 4 regions have reported new AWD case since December 2017
• 6,605 cumulative case including 45 deaths since December 2017 (CFR 0.7%).
AWD/Cholera situation in Somalia
Generally, the AWD/cholera cases have been on the decline since weeks 29 (fig 1). In week 47, only Banadir regions reported new cases. The cholera outbreak that started in December 2017 in Beletweyne along river Shabelle has spread to Jowhar, Kismayo, Afgoye Merka and Banadir.
Over the past 17 weeks, there has been decline in the number of AWD/Cholera cases reported. In week ending 25th Nov- 2018, active transmission of AWD/cholera was reported 6 districts of Banadir region (Darkenly, Daynile, Hodan, Madina, Shibis, Yaqshid districts) (fig 2). As shown in table 1, there was decrease in the number of cases reported from 27 in week 46 to 18 in week 47. The Oral Cholera Vaccination that was implemented in 11 high risk districts in 2017 of the central region has greatly contributed to the reduction in the number of new AWD/cholera cases compared to the same time in 2017(fig 1).