South Sudan: Cholera Outbreak Situation Report #2, 21 May 2014

Highlights

• Overall, a cumulative of 266 cholera cases including 9 deaths have been reported since the onset of the outbreak on 25 April 2014. The majority of the reported cases have been treated in the Juba Teaching Hospital Cholera Treatment Centre (CTC).

• UNICEF has deployed a full time UNICEF doctor, medical, WASH and logistical staff to the Juba Teaching Hospital CTC to provide on-site technical support and case management, and guidance to the staff.

• UNICEF continued to support the Cholera Treatment Centre at Juba Teaching Hospital, by providing safe clean water, water quality monitoring and chlorination.

• UNICEF has directly trained over 400 community leaders, volunteers and health workers in Juba since 18 May, with a further ‘rolling training’ carried out to train more than 1,000 teachers, community leaders, health workers by 25 May.

• UNICEF is coordinating activities with partners, reinforcing Cholera prevention, prepositioning diarrheal disease kits in PoC sites and communities, implementing a multi-sectorial plan of action.

• UNICEF has also pre-positioned IEC materials for all states, and widely shared with all WASH, Education, Health and Child Protection cluster partners.

266
Suspected cholera cases in Juba

05
Laboratory confirmed cases

13
No. of cumulative deaths (6 in health facility, 7 in communities)

63
No. of patients currently admitted at the Cholera Treatments Centre, Juba Teaching Hospital

405
No. of volunteers, health workers and community leaders trained by UNICEF team since outbreak began

Over 161,000
People who have been fully vaccinated against cholera with 2 doses in IDP camps

SITUATION OVERVIEW

Juba has witnessed a Cholera outbreak declared by the Ministry of Health on 15 of May. As of 20 May, a cumulative of 266 cholera cases including 13 deaths (6 in health facility, and 7 in the communities) have been reported. The majority of the reported cases have been treated in the Juba Teaching Hospital Cholera Treatment Centre (CTC). Additional suspected cases have been reported in other parts of the country, mainly in Twic East County, Jongeli and Kaka, Upper Nile. At least six (6) alerts of acute watery diarrhoea (AWD) (suspect cholera) outside Juba County have been reported to the Ministry of Health through the national taskforce. One alert came from Kaka barracks in Upper Nile State, where at least 50 AWD cases including 9 deaths were reported on 19 May. A barracks outside Panyagor in Bor reported at least 27 AWD cases including three (3) deaths over the weekend. Assessment missions are currently taking places to investigate the reports and support the initial response. Intervention mechanisms will then be put in place.