UNICEF South Sudan Cholera Situation Report, 22 August 2017

Report
from UN Children's Fund
Published on 03 Sep 2017

Overview

There is a general declining trend in cholera cases in the country over the past three weeks. Although the cholera outbreak has affected a total of 23 counties (nearly 30 per cent of the total number of counties in South Sudan) across the ten states to date; currently, only ten counties are reporting active transmission.

The declining trend of cholera could be attributed to the concerted efforts by various government ministries, UNICEF, and implementing partners. Through UNICEF, over 8,734 people have been treated through UNICEF provided supplies to 2 Cholera Treatment Centres (CTCs), 15 Cholera Treatment Units (CTUs) and 46 Oral Rehydration Points (ORPs). Furthermore, campaigns and administration of oral cholera vaccine (OCV) are ongoing particularly in Greater Kapoeta and Tonj as illustrated in Figure 1 below. 120,000 people have been reached with messages on Cholera Prevention.

A multi-sectoral response with close integration of WASH, Health and Nutrition is being expanded in all the Cholera affected areas. In order to sustain the provision of critical cholera NFIs, the supplies pipeline is in critical need of USD 5.9 million, to sustain the scaled up programmes.

Situation update

Following high incidence of cholera in the first half of 2017, the number of reported cholera cases has been on the decline in the month of August. As at 20 August, 15,882 cholera cases and 274 cholera-related deaths have been reported in 2017, with a case fatality rate of 1.7 per cent. UNICEF and partners continue to provide critical cholera prevention and response in key hotspots across the country.

Of the cases reported this year, an estimated 8,734 people have received treatment using UNICEF supplies provided to Cholera Treatment Centres (CTCs), Cholera Treatment Units (CTUs) and Oral Rehydration Points (ORPs) in the cholera affected communities.

The nomadic pastoralists moving from cattle camps to villages have become a notable risk factor for spread of the disease in hotspots of Tonj East (Warrap) and Kapoeta (Eastern Equatoria). Further, during the reporting period, an outbreak has been confirmed in Ngauro community in Budi County, Eastern Equatoria and Mayom County in Unity state with no previous reported cases. Further supporting the epidemic spread inland rather than the along the river Nile only as noted with previous outbreaks.