The cholera outbreak declared on 15 May by the Ministry of Health has evolved into an increased caseload. Overall, a cumulative of 1,286 cholera cases including 29 deaths have been reported in Juba since the onset of the outbreak.
Additional suspected cases have been reported in other parts of the country, mainly in Twic East County, Jonglei and Kaka, Upper Nile. Also, new suspected cases have been reported in the Tongping and Juba 3 POCs, and in Mingkaman IDP camp. With increased surveillance and social mobilization, suspected cases are being referred to health facilities in different parts of the country.
The number of displaced population continues to increase, with 1,040,706 people currently internally displaced. A total of 360,668 have fled to neighboring countries.
The estimated number of people sheltering in UN bases spiked to over 95,000 after a verification process in Bentiu, Unity State.
Living conditions in displacement sites continued to deteriorate due to flooding caused by heavy rains, especially in Jonglei, Unity and Upper Nile.
Food shortages persisted in Maban, forcing thousands of Sudanese refugees to return to Sudan's war-torn Blue Nile State.
1,040,706 People internally displaced since 15 December (OCHA, 30 May, 2014)
556,515* Estimated internally displaced children under 18 years
Outside South Sudan 360,668 Estimated refugees in neighbouring countries (OCHA, 30 May, 2014)
Priority Humanitarian Funding needs January - June 2014 US$ 75.1 million**
- Disaggregated data is yet to be made available, as registration has not been completed across the country.
Children under 18 years have been calculated based on census ** This is based on UNICEF’s contribution to the South Sudan Crisis Response Plan (CRP).
Situation Overview & Humanitarian Needs
The humanitarian situation has continued to deteriorate, with 1,040,706 people internally displaced since the crisis started - of which around 95,000 people are being sheltered in UNMISS bases. In addition, the number of people have fled to neighbouring countries in Ethiopia, Kenya, Sudan and Uganda continues to increase and now stands at 360,668.
Following the recent clashes around Bentiu, Unity State, the situation remains fluid with a heavy military presence reported in Bentiu and Rubkona with both towns remaining deserted. Fighting has been reported around Nasir and Ulang south of the Sobat River making currently restricting access to these areas.
On the 15 May, the Ministry of Health declared a cholera outbreak, and number of suspected cases more than doubled during the last week rising to 1,286 cases as of 5 th June 2014, with 29 deaths giving a case fatality rate of 2.4% which is still above the 1% emergency threshold. The high case fatality rate has been attributed to patients arriving extremely late at health facilities for treatment. To address the need for prompt treatment, partners have scaled up activities and have established additional cholera treatment centres in Juba and are also setting up rehydration centres to improve access to treatment. In addition, cholera awareness programmes have increased at the community level to raise awareness.
In Leer, Unity State, where 6,420 households have been registered in the town itself and another 2,000-3,000 households are estimated to be in the payams around the town. MSF is responding to health and nutrition needs and report 1,600 children identified as severely acutely malnourished in its centre within a two week period as well as 6 clinically diagnosed cases of measles. UNICEF is coordinating with MSF to support the nutrition response and is planning a measles campaign for Leer.