Situation Report for Acute Watery Diarrhea/Cholera, Epidemiological Week 5 (30 January - 5 February 2017)



  • As of week five, the number of new acute watery diarrhea/ cholera cases reported has increased compared to the previous week due to the spread of the outbreak to new districts.

  • A total of 913 acute watery diarrhea/cholera cases and 10 deaths (CFR 1.1%) were reported during epidemiological week 5 (30th January to 5th February) from 38 districts in 8 regions.

  • The weekly CFR has decreased from 1.7% in week 4 to 1.1% in week 5. This indicates an improvement of patient care and overall response activities.

  • Over 30% of the new cases were reported from Baidoa. New cases were also reported from Burhakaba district in Bay region and Ufeyn, Bari region.

Situation update

  • A total of 913 acute watery diarrhea/cholera cases and 10 deaths were reported from 38 districts in 8 regions of south central and Puntland (refer table 1). However, the CFR rate declined from 1.7% to 1.1% in week five, even though the number of cases has increased from 877 cases to 913 cases during the reporting period.

  • The total number of cases reported was 4026 cases and 57 deaths (CFR 1.4%) since January 2017. The current outbreak affects 38 districts; it is a spillover from the cholera outbreak of the previous year attributed to severe drought that has affected most parts of the country. Currently, the affected regions are located in the south-central and Puntland regions, and they reported the following cases:

  • Bay Region: A total of 460 cases and 3 deaths were reported in week 5 from the districts of Baidoa, Bayhow, Aliyow Munim and Burhakaba, and the trend has gradually increased over the past 5 weeks.

  • Banadir Region: A total of 109 cases and 3 deaths were reported from 17 districts and the trend shows a reduction in number of cases and case fatality rate. The most affected districts were Hodan and Dharkenley.

  • Hiiran Region: A total of 35 cases and 1 death were reported in Beletweyne and Jalalaqsi. However, the trend of cases has increased this week as compared to the previous week.

  • Lower Shebelle Region: A total of 99 cases and 1 death were reported from 9 districts. Cases were reported in Afogoye, Janale, Qoryoley, Marka Hospital, Shanalbond and Hantiwadag. One death was reported in Janale. The number of cases have continued to decline over the past two weeks.

  • Middle Shebelle: A total of 106 cases and 2 deaths were reported in Jowhar, Mahadaay and Hawaadley. The two deaths occurred in Jowhar and Mahadaay. The number of cases have gradually increased in the past 2 weeks.

  • Lower Jubba: A total of 33 cases and 0 deaths were reported from Kismayo since the beginning of the year. Cases were reported in Farjano and Fanole sections within Kismayo town.