South Sudan

South Sudan: Integrated Disease Surveillance and Response (IDSR) - Epidemiological Update, Week 52 (December 26, 2016 - January 1, 2017)

Situation Report
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• Completeness for weekly reporting was 32% for the nonconflict states and 66% for the IDP sites. Overall completeness for weekly reporting in 2016 was 45% in the nonconflict areas and 69% in the IDP sites.

• Malaria is a leading cause of morbidity in nonconflict areas and IDPs. Transmission has returned to normal in most counties.

• Cholera case confirmed in Panyijiar and another six cases confirmed in UN House PoC. Active transmission is ongoing in Northern and Southern Liech states.

• Measles transmission is ongoing in Wau PoC where at least 72 cases were reported in week 52 of 2016 as compared to 103 cases in week 51 of 2016.

• Four suspect meningitis cases reported from Bentiu PoC.

• Complications related to Gun Shot Wounds were the leading cause of death in IDPs during the week. Overall, TB/HIV/AIDS were the leading cause of death in IDPs in 2016.

Special focus on malaria

• Malaria accounted for 26% and 19% of consultations in nonconflict-affected and IDP areas (Figs. 1a and 1b).

• Analysis of malaria trends at state level showed that malaria cases were within expected levels in all the states (Fig. 8a- f).

• In the 26 (33%) affected counties; malaria cases have continued to decline to expected transmission levels (Fig. 9a).