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South Sudan

South Sudan: Integrated Disease surveillance and response (IDSR) Epidemiological Bulletin: Reporting period: Epidemiological Week 1 (30 Dec to 05 Jan 2025)

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This weekly bulletin presents the epidemiological status of priority diseases, events, and conditions under surveillance in South Sudan. The data comes from various actors involved in preparedness and response to public health events in the country. Special thanks to all the health implementing partners and health cluster humanitarian agencies supporting integrated disease surveillance and response.

Key highlights

▪ In week 01 of 2025, the IDSR reporting timeliness was 70% and completeness was 89%. There was no increase in timeliness compared to reporting week 52, while completeness rose from 79% in week 52 to 89% in week 01, reflecting consistent improvement since week 31. A steady enhancement has been observed in both timeliness and completeness since week 31. Eight states and three administrative areas achieved reporting completeness above 80%. The Greater Pibor Administrative Area, Lakes, Ruweng Administrative Area, WES, Abyei Administrative Area, and Unity State reached 100% completeness in reporting. However, only 5 of the 13 states and administrative areas achieved timeliness of reporting above 80%.

▪ At the EWARN mobile sites, the Timeliness and Completeness of IDSR performance were at 52% and 62% respectively. There is a slight increase in the timeliness and completeness of reporting from 40% in week 52 to 52% and 62% respectively.

▪ In week 01, 253 EWARS alerts were triggered, and the proportion of verified alerts increased from 59% in Week 52 to 61% in week 01. Most of the alerts were for AWD (21%), ARI (18%), Cholera (17%), Malaria (17%), Guinea Worm (14%), and ABD (8%).

▪ The cholera outbreak is now reported in 32 of the 80 counties across 7 states in South Sudan. From September 28 to February 2, 2025, a total of 26,811 cases have been reported. Cases have been documented in 32 counties, spanning 7 states and 1 administrative area. Cumulative deaths total 455: Community deaths number 214, while health facility deaths reach 241.

▪ Out of 30 requests, totaling more than 6 million doses to ICG, 17 requests have been approved, amounting to over 4 million doses. Thus far, 2 million doses have been received in the country.

▪ Other active outbreaks and events in South Sudan include measles in Tonj East County and hepatitis E in multiple locations, cVDPV2/Polio now declared a countrywide outbreak, as well as flooding, that has so far affected more than one million people across 52 counties, with 56 health facilities inundated.