Attachments
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 02 of 2025, the timeliness and completeness of IDSR reporting were 80%, and 91% respectively. This marks an increase from week 01, with timeliness rising from 70% to 80% and completeness from 88% to 91%.
Eight states and the all three administrative areas achieved reporting completeness above 80%. Ruweng Administrative Area, Greater Pibor Administrative area, Lakes, Western Equatoria, and Unity States reached 100% completeness in reporting.
▪ At the EWARN mobile sites, the timeliness and completeness of IDSR performance were both at 67%. There was a slight increase in both metrics from 52% and 62% in epidemiological reporting week 01.
▪ In week 02, 405 EWARS alerts were triggered, with the proportion of verified alerts climbing from 61% in week 01 to 66% in week 02. Most alerts were for AWD (24%), malaria (21%), ARI (20%), cholera (13%), Guinea worm (10%), and ABD (8%). Special thanks to the surveillance teams in Eastern Equatoria, Greater Pibor Administrative Are, Lakes and Northern Bahr el Ghazal who verified all their EWARS alerts.
▪ The cholera outbreak is now reported in 32 of the 80 counties across 7 states in South Sudan. From September 28 to January 30th, 2025, a cumulative total of 26,218 cases were reported, with cases documented in 32 counties across 7 states and 1 administrative area. Cumulative deaths total 446—215 community deaths and 231 deaths in health facilities. Overall Cholera outbreak CFR is 1.7%
▪ Out of 30 requests to ICG for over 6 million doses, 17 requests have been approved, totaling more than 4 million doses. So far, 2 million doses have been received countrywide.
▪ Other active outbreaks and events in South Sudan include measles in Tonj East County, hepatitis E in various locations, a cVDPV2/polio outbreak now declared countrywide, and flooding that has affected more than one million people across 52 counties, with 56 health facilities inundated.