Somalia: Acute Watery Diarrhoea Update 18 May 2007

Situation Report
Originally published


This update describes the development, status, and activities implemented by the humanitarian community in response to the Acute Watery Diarrhoea outbreak in Somalia. The update follows the structure as proposed in the WHO guidelines for cholera outbreak response.

The report is built on surveillance data that health service providers and NGOs transmit on a weekly basis from health facilities and hospitals in South and Central Somalia.


Between 1 January and 18 May, 2007, 32 583 of Acute Watery Diarrhoea (AWD) cases were reported from Central and South Zones including 1031 related deaths.

In the current week (epidemiological week 20), the reported cases increased by 5%, in comparison with the previous week (1742 and 1833 respectively).

In comparison with previous epidemiological weeks, the overall Case Fatality Rate (CFR) continues to decrease from 4.32% in epidemiological week 14, to 2.89% in the current week.

Overall, Banader region reported 39% (12 809) cases, including 16% (164) of the total related deaths. However, the trend shows a sharp decrease in the reported cases in the last epidemiological weeks.

Although Middle Juba and Bakool regions reported only 3% (927) and 2% (632) of the total reported cases, they reported the highest CFR 6.36% and 6.80% respectively.

In the current week Galgadud region reported 409 cases, ot them 368 caeses including 38 realted deaths were reported from Hindar district.

The AWD trend showed the number of reported cases is decreasing in Bakool, Hiiraan, Lower Shabelle, Middle Shabelle, Banadir and Bay Regions while increasing in Gedo, Galgadud and Lower Juba regions.