South Sudan Humanitarian Bulletin Issue 16 | 27 October 2017

from UN Office for the Coordination of Humanitarian Affairs
Published on 27 Oct 2017


• Kala-azar has killed at least 52 people and sickened 2,447 so far in 2017.

• Depreciation of the local currency, rising cereal prices and shortages of imported commodities in local markets are affecting the food security and increasing vulnerability.

• Humanitarian organizations continue to experience difficulties accessing many locations in Greater Equatoria region affected by insecurity and conflict.

• Health partners have stepped up efforts to stop South Sudan’s cholera outbreak, with the current rate of new cases suggesting that it is further slowing down.

Kala-azar resurges, partners scale up response

A deadly tropical disease, kala-azar has killed at least 52 people and sickened 2,447 in South Sudan so far in 2017, according to health partners who warn that many more were likely to be infected.

The parasitic kala-azar disease, which peaks between September to December, is almost always fatal if untreated and can kill those with weak immune systems within weeks, according to health experts. By this time last year, 3,079 cases and 79 deaths were reported showing a significant reduction in both cases and deaths.

On 8 October 2017, the authorities in Malakal reported an upsurge in cases of kala-azar in Baliet County and called on health partners to scale up response in affected areas.
The majority of cases in 2017 have been reported from Lankien (907), Old Fangak (733),
Kurwai (201), Walgak (122), Chuil (103), Malakal (96), Pagil (62) and Bunj (45). According to aid agencies, the disease was more prevalent among adults, but it also occurred among children.

Efforts to contain the disease include training of health workers in case management, laboratory diagnosis, conducting surveillance in the affected areas, and stocking ample supplies of diagnostics and medicines at all designated treatment centres.

In an attempt to decrease vector-human contact, partners are also employing a multisectoral approach to prevent the spread of kala-azar in affected areas. From 21 to 22 September, aid agencies conducted a response mission to Canal/Pigi County in Jonglei.

The team conducted health consultations, nutrition assessment and distribution of high-energy biscuits.
The response team also distributed mosquito nets to all children and women and conducted awareness on usage.

In Uror, in October, partners assessed the abandoned health care unit in Yuai, and delivered essential drugs to the health facility, where thousands of people were reported to have returned in recent days.

In Malakal, on 5 October, partners conducted training in infectious disease control and waste management, targeting participants from private clinics and drug stores in the Malakal town and Protection of Civilians site.

High malnutrition rate, food insecurity, poor housing and environmental change favouring sandflies that spread kala-azar further escalate the problem. Despite the response efforts, the ongoing conflict and insecurity in most affected areas is preventing patients from seeking medical care services.

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