- The cumulative total from 27 April 2017 to 24 September 2017 is 738,212 suspected cholera cases and 2,117 associated deaths (CFR 0.29%). 28,277 suspected cases and 16 associated deaths were reported in W38.
- The national attack rate is 259.41 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain Amran (639), Al Mahwit (583), Al Dhale’e (558), Abyan (456) and Hajjah (347).
- Children under 5 years old represent 25.7% of total suspected cases. Children under 18 years old represent 55.9%.
- In total, 12,864rapid diagnostic tests (RDT) have been performed which represents 17.4% coverage. 1,624 cultures have been performed which represents 19.3% coverage. The last positive laboratory confirmation was on the 20th September in Hubaysh district.
Governorate and District level
- The trend at country level over the past 3 weeks is considered stable.
- At governorate level, the trend from W35-W37 increased in 4 governorates: Al Hudaydah (+20%), Saada (+53%), Mokhla (+25%), Sayon (+50%).
- At district level, the range number of deat hin week 38 is [0-3]
- Those districts are under particular surveillance: As Safra (Saada); Al marawit, Az Zuhra, Ad Dahi (Al hudaydah).
Conclusions and actions
- In response to the continued increases in numbers of suspected cholera cases, WHO and health authorities are still strongly recommend the following:
- Strictly apply case definition. All cases that are line listed MUST meet the case definition of suspected cholera. There must be the presence of acute watery diarrhoea, defined as 3 or more loose stools in the past 24 hours.
- Strengthen laboratory testing. At a minimum, 1 in 10 patients should be tested with rapid diagnostic test (RDT). Where feasible, exhaustive testing of all admissions to DTC is recommended. All RDT positive cases should be tested for culture.
- Strengthen data collection and reporting. Partners should use one register to record consultations at DTC and ORC, and use the line list register ONLY for those that meet case definition of suspected cholera