Attachments
Situation Update
Cholera outbreaks were confirmed in 9 (32%) of 28 states countrywide. The affected states include Imatong, Eastern Lakes, Jubek, Terekeka, Jonglei, Western Bieh, Northern Liech, Southern Liech; and Eastern Nile. Suspect cholera cases were reported in Mayendit, Panyijiar, and Ayod.
Cumulatively 139 (34.6 %) of the samples tested positive for Vibrio Cholerae inaba in the National Public Health Laboratory as of 22 December 2016 (Table 3). Jubek state has recorded 2,006 cholera cases including 27 deaths (CFR 1.35 %). No new cholera case was reported in Jubek State during week 50 of 2016.
Active transmission is ongoing in Bentiu PoC where:
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Cases have been on the increase since week 41 with 134 new cases reported in week 50.
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Nearly 80% of the cases are children under 14 years of age
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More women are affected than males possibly due to their traditional domestic chores .
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The sectors neighboring the waste water pond also have the highest attack rate of cholera
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The 12 blocks which closely border this pond registered 25% of cholera cases
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The epidemic curve denotes continuous source outbreak that is consistent with exposure to water from the pond .
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Tailored recommendations considering the current trends in Bentiu PoC
In Southern Liech (Leer and Mayendit), the response is led by UNIDO although implementation of sustained and comprehensive investigation and response activities continues to be constrained by security concerns. In Pigi, Eastern Nile state, transmission has been contained with the last four cases discharged from Kurwai PHCC on 15 November 2016. Cholera was confirmed in Pigi after two cases tested positive by culture on 2 November 2016. A least 163 cases including 6 deaths (5 health facility and one community) (CFR 2.98%) were reported since 10 October 2016. Health and WASH activities in Pigi are led by NHDF supported by WHO, UNICEF, and MSF-F.