Situation Report for Acute Watery Diarrhoea/Cholera, Epidemiological Week 38 (17 - 23 September 2018)

Situation Report
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• A total of 30 new cases AWD/cholera were reported in week 38 compared to 34 cases week 37.

• A total of 3 (10%) cases were reported from flood affected regions of Lower Jubba region

• No new death was reported in week 38

• A cumulative total of 6,394 cases including 42 deaths have been reported since December 2017

• The new AWD/cholera outbreak started in Beletweyne started in December 2017.

• No new cases have been reported in Southwest state and Hirshabelle for the past 4 weeks

• In 2018 new outbreaks were reported in Banadir, Kismayo, Jowhar, Bulobarde, Merka, Brava, kurtunwarey and Afgoye


• 30 new cases with no new death in week 38

• 43% of the new cases were female

• 40% of the cases were 5years and below.

• Cases reported in week 38 did not receive cholera vaccine in 2017

• 22 districts in 4 regions have reported new AWD case since December 2017

• 6,394 cumulative case including 42 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) and cases are localized in Lower Juba and Banadir regions. 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 2 weeks, there has been decrease in the number of AWD/Cholera cases reported in Banadir and Lower Jubba. In week ending 23th Sept2018, active transmission of AWD/cholera was reported in Kismayo district in Lower Jubba, as well in 7 districts of Banadir region (Darkenly, Daynile,
Hodan, Madina, Waberi Hamarjabjab, Heliwa, districts) (fig 2). In Kismayo, affected communities especially in Farjano IDP are reportedly using contaminated water due to floods. As shown in table 1, there was decrease in the number of cases reported from 34 in week 37 to 30 in week 38. 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).