South Sudan

Cholera outbreak in Juba, Central Equatoria State - Situation Report (Sitrep No. 1) as at 17:00 Hours; 16 May 2014

Situation Report
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On 29 April 2014, the MSF clinic in Juba 3 UN House IDP camp notified WHO of a suspect cholera case involving a 28 year-old male who left his household in Juba 3 IDP camp on 28 April, 2013 at around 11a.m to visit his relatives in Gudelle 2. While there, he ate beans, eggplant, and bread bought from a street vendor in the Suk Zande market in Gudelle 2. Around 4p.m. the same day, he developed severe diarrhoea, abdominal pain, and vomiting and body weakness.

He slept in Gudelle with his relatives and was brought to MSF clinic in Juba 3 IDP camp on the 29 April 2014 by his brother in a hired private car. His stool samples were shipped to AMREF, Nairobi where Vibrio cholerae inaba was isolated.

Epidemiological investigations showed that the case received one dose of oral cholera vaccine (OCV) on 11 March 2014. Two probable cholera cases not vaccinated using OCV were identified in the household he visited in Gudele but none were identified among the household members in Juba 3 IDP camp since they were all fully vaccinated using OCV.

As seen from the above summary table; a total of 43 cases including 2 deaths (CFR = 4.7%) have been reported from seven (7) Payams in Juba county. The majority of the cases have been reported from Northern Bari 15 (35%), Muniki 11 (26%), and Juba 8 (19%) (see map below). A total of two (2) cases have now been confirmed to have Vibrio Cholerae inaba following tests by AMREF,