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South Sudan

South Sudan: Integrated Disease surveillance and response (IDSR) Epidemiological Bulletin: Reporting period: Epidemiological Week 5 (27th January to 2nd February 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 5 of 2025, the IDSR reporting timeliness was 80%, and completeness was 92%. There was slight decline in timeliness and completeness of IDSR/EWARS reporting in the two consecutive weeks( 4 and 5 of 2025). IDSR timeliness and completeness of reporting for week 5 remains in the range of what it was in the last two previous years (2024 and 2023). 8 states and all three (3) administrative areas attained completeness of reporting above 80%. Lakes state, Western Equatoria state and all three administrative areas achieved 100% completeness of reporting. However, only 6 of the 13 states/administrative areas attained timeliness of reporting above 80%.

▪ At the EWARN mobile sites, the Timeliness and Completeness of IDSR performance were both at 67% respectively.

▪ In week 5, 60 EWARS alerts were triggered, and only 23 were verified. Most of the alerts were for AWD (25%), Malaria (18%), Guinea Worm (13%), and ARI (12%). Special thanks to the surveillance team in Lakes, Unity and Western Equatoria states, for verifying most of the reported alerts in their respective states.

▪ On February 6, 2025, an index case of Mpox was confirmed by the National Public Health Laboratory in Juba. The National Ministry of Health, Republic of South Sudan, declared an outbreak of Mpox immediately in line with International Health Regulations (IHR 2005).

▪ As at February 6 th, 2025, cholera outbreak was confirmed in 34 counties, across 7 states and Ruweng Administrative Area. A cumulative total of 27 985 cases and 482 deaths were reported giving a case Fatality Ratio (CFR) of 1.7 percent which is above the recommended CFR of less than 1 %. The facility-based CFR calculations indicate that it was 0.9%, suggesting that delayed reporting to cholera treatment units/centres is the major driver for the high morbidity.