Attachments
Highlights
• The current cholera outbreak in Somalia is a continuation of the 2023 cholera outbreak that spread to new districts that were affected by floods in October 2023.
• Limited access to safe water and proper sanitation among displaced persons is the major driver of the current cholera outbreak.
• During week 2, 474 new suspected cases with nine associated deaths were reported from 27 flood-affected districts.
• More than half of the cases reported in the week were from Beletweyne, Buloburte and Jalalasi districts among populations displaced by floods (Table 1).
• The overall case fatality rate (CFR) of 1.2 % reported from 27 districts is above the emergency threshold of ≥1%. The higher than expected CFR was reported in Beletweyna,bulo Burte, Jalalasi and Burhakaba attributed to low skills for case management among health care workers and high levels of mal nutrition among children aged under 5 years (Table 2)
• The overall cumulative attack rate is 18 cases per 100,000 with the highest incidence reported in Beletweyne (129 cases per 100000 cases) and Bulo Burte (48 cases per 100,000) (Table 2).
• Stool samples collected from flood affected districts and analyzed in the National Public Health Laboratory in Mogadishu tested positive for Vibrio Cholerae 0139 Ogawa
• Surveillance information from the field shows that the cholera outbreak is likely to spread to Bulo-
• WHO and health partners have scaled up the implementation of cholera response activities in districts affected by floods resulting from the El Nino season since October 2023.
• There is urgent need for additional operational funds to scale up the implementation ofresponse activitiesto contain the current outbreak.