Yemen: 2017/2018 Cholera

[Ronan Kelly]

YEMEN: cholera outbreak
Daily epidemiology update:
12 July 2017
Highlights
? From 27 April to 11 July 2017, 320 199 suspected cholera cases and 1 742 deaths (CFR: 0.5%)
have been reported in 91.3% (21/23) of Yemen governorates, and 87.7% (292/333) of the
districts.


Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 54.7% (175 075/320 199) of the cases reported since 27 April 2017. Al Dhaele?e, Al Mahwit and
Amran governorates had the highest attack rates (23.4?, 21.6? and 21.3? respectively), and
Raymah and Hajjah governorates the highest case fatality ratios (1.4% and 1.0% respectively) (see
table).


Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 11 July 2017

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http://www.emro.who.int/images/stories/yemen/Yemen_epi_d_update_20170712.pdf?ua=1

[Ronan Kelly]

Cholera vaccine plan for Yemen scrapped
Publisher IRIN
Author Naomi Stewart
Publication Date 12 July 2017
Cite as IRIN, Cholera vaccine plan for Yemen scrapped, 12 July 2017, available at: http://www.refworld.org/docid/596725824.html [accessed 13 July 2017]
Disclaimer This is not a UNHCR publication. UNHCR is not responsible for, nor does it necessarily endorse, its content. Any views expressed are solely those of the author or publisher and do not necessarily reflect those of UNHCR, the United Nations or its Member States.
A plan to deliver a million doses of the oral cholera vaccine in Yemen to help combat the worst outbreak of cholera in the world has been scrapped.

There have been more than 313,000 suspected cases of cholera and 1,732 related deaths since the outbreak began in late April, according to the latest statistics.

In response, the World Health Organization facilitated an emergency request for 3.4 million doses on behalf of Yemen to the International Coordinating Group (ICG), the body that oversees the global stockpile of vaccines. The million approved doses were to be the largest amount ever deployed since the stockpile was first developed five years ago.

However, since the ICG's approval in late June there has been an ongoing dialogue around the vaccine's efficacy in halting the widespread outbreak three months in, at a point when the disease has already spread to all of Yemen's governorates (but not the island of Socotra).
...

http://www.refworld.org/docid/596725824.html

[Ronan Kelly]

YEMEN: cholera outbreak
Daily epidemiology update:
13 July 2017
Highlights
? From 27 April to 12 July 2017, 326 082 suspected cholera cases and 1 743 deaths (CFR: 0.5%)
have been reported in 91.3% (21/23) of Yemen governorates, and 87.7% (292/333) of the
districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 54.6% (177 943/326 082) of the cases reported since 27 April 2017. Al Dhaele?e, Al Mahwit and
Amran governorates had the highest attack rates (24.0?, 22.2? and 22.1? respectively), and
Raymah and Hajjah governorates the highest case fatality ratios (1.3% and 1.0% respectively) (see
table).


Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 12 July 2017


...

http://www.emro.who.int/images/stories/yemen/Yemen_epi_d_update_20170713.pdf?ua=1

[Ronan Kelly]

YEMEN: cholera outbreak
Daily epidemiology update:
14 July 2017
Highlights
? From 27 April to 13 July 2017, 332 658 suspected cholera cases and 1 759 deaths (CFR: 0.5%)
have been reported in 91.3% (21/23) of Yemen governorates, and 87.7% (292/333) of the
districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 54.4% (181 081/332 658) of the cases reported since 27 April 2017. Al Dhaele?e, Al Mahwit and
Amran governorates had the highest attack rates (24.0?, 23.5? and 22.5? respectively), and
Raymah and Hajjah governorates the highest case fatality ratios (1.3% and 1.0% respectively) (see
table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 13 July 2017

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http://www.emro.who.int/images/stories/yemen/Yemen_epi_d_update_20170714.pdf?ua=1

[Ronan Kelly]

YEMEN: cholera outbreak
Daily epidemiology update:
15 July 2017
Highlights
? From 27 April to 14 July 2017, 338 969 suspected cholera cases and 1 770 deaths (CFR: 0.5%)
have been reported in 91.3% (21/23) of Yemen governorates, and 87.7% (292/333) of the
districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 54.3% (183 937/338 969) of the cases reported since 27 April 2017. Al Dhaele?e, Al Mahwit and
Amran governorates had the highest attack rates (24.4?, 24.0? and 22.9? respectively), and
Raymah governorate the highest case fatality ratio (1.3%) (see table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 14 July 2017


...

http://www.emro.who.int/images/stories/yemen/Yemen_epi_d_update_20170715.pdf?ua=1

[Ronan Kelly]

YEMEN: cholera outbreak
Daily epidemiology update:
16 July 2017

Highlights
? From 27 April to 15 July 2017, 344 751 suspected cholera cases and 1 784 deaths (CFR: 0.5%)
have been reported in 91.3% (21/23) of Yemen governorates, and 87.7% (292/333) of the
districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 54.0% (186 175/344 751) of the cases reported since 27 April 2017. Al Dhaele?e, Al Mahwit and
Amran governorates had the highest attack rates (25.1?, 24.9? and 23.2? respectively), and
Raymah governorate the highest case fatality ratio (1.4%) (see table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 15 July 2017


...

http://www.emro.who.int/images/stories/Yemen_epi_d_update_20170716.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
17 July 2017

Highlights
From 27 April to 16 July 2017, 351,045 suspected cholera cases and 1,790 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88% (293/333) of the districts.

Geographical distribution of cases
 The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and
Ibb with 53.9% (189,375/351,045) of the cases reported since 27 April 2017.
 Al Dhaele?e, Al Mahwit and Amran governorates had the highest attack rates (26.1?, 25.3?
and 23.6? respectively)
 Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.3% ,0.9% and
0.9% respectively) (see table).
 The five most affected districts were Al Hali district (Al Hudaydah gov., 13,680 suspected cases
and 23 deaths), Bani Al Harith (Amanat Al Asimah gov., 8,867 suspected cases and 10 deaths),
Ma?ain (Amanat Al Asimah gov., 8,758 suspected cases and 7 deaths), As Sabain (Amanat Al
Asimah gov., 6,854 suspected cases and 11 deaths), and Al Hawak (Al Hudaydah gov., 6,620
suspected cases and 11 deaths)

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 16 July 2017

...

http://www.emro.who.int/images/stories/Yemen_epi_d_update_20170717.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
18 July 2017

Highlights
From 27 April to 17 July 2017, 356,591 suspected cholera cases and 1,802 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88% (293/333) of the districts.

Geographical distribution of cases
 The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and
Ibb with 53.9% (192,488/356,591) of the cases reported since 27 April 2017.
o Al Dhaele’e, Al Mahwit and Amran governorates had the highest attack rates (26.1‰,
25.8‰ and 24‰ respectively)
o Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.3% ,0.9%
and 0.8% respectively) (see table).
 The five most affected districts were Al Hali district (Al Hudaydah gov., 13,820 suspected cases
and 23 deaths), Ma’ain (Amanat Al Asimah gov., 8,939 suspected cases and 9 deaths), Bani Al
Harith (Amanat Al Asimah gov., 8,890 suspected cases and 10 deaths), As Sabain (Amanat Al
Asimah gov., 7,078 suspected cases and 11 deaths), and Al Hawak (Al Hudaydah gov., 6,784
suspected cases and 11 deaths)

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April – 17 July 2017
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http://www.emro.who.int/images/stories/Yemen_daily_epi_update_20170718.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
19 July 2017

Highlights
From 27 April to 18 July 2017, 362 545 suspected cholera cases and 1817 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88% (293/333) of the districts.

Geographical distribution of cases
 The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and
Ibb with 53.7% (194 835/362 545) of the cases reported since 27 April 2017.
o Al Dhaele?e, Al Mahwit and Amran governorates had the highest attack rates (26.6?,
26.3? and 24.4? respectively)
o Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.4% ,0.9%
and 0.8% respectively) (see table).
 The five most affected districts were Al Hali district (Al Hudaydah gov., 14 055 suspected cases
and 23 deaths), Ma?ain (Amanat Al Asimah gov., 9 024 suspected cases and 9 deaths), Bani Al
Harith (Amanat Al Asimah gov., 8 981 suspected cases and 10 deaths), As Sabain (Amanat Al
Asimah gov., 7 129 suspected cases and 11 deaths), and Al Hawak (Al Hudaydah gov., 6 841
suspected cases and 11 deaths).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 18 July 2017

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http://www.emro.who.int/images/stories/Yemen_daily_epi_update_20170719.docx.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
20 July 2017

Highlights
From 27 April to 19 July 2017, 368 207 suspected cholera cases and 1 828 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88.6% (295/333) of the districts.

Geographical distribution of cases
 The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and
Ibb with 53.8% (198 227/368 207) of the cases reported since 27 April 2017.
o Al Dhaele?e, Al Mahwit and Amran governorates had the highest attack rates
(27.2?, 26.7? and 24.7? respectively)
o Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (CFR:
1.3%, 0.9% and 0.8% respectively) (see table).
 The five most affected districts were Al Hali district (Al Hudaydah governorate, 14 229
suspected cases and 23 deaths), Ma?ain (Amanat Al Asimah, 9 164 suspected cases and 10
deaths), Bani Al Harith (Amanat Al Asimah, 9 090 suspected cases and 10 deaths), As Sabain
(Amanat Al Asimah, 7 215 suspected cases and 11 deaths), and Al Hawak (Al Hudaydah
governorate, 6 907 suspected cases and 11 deaths)

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 19 July 2017

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http://www.emro.who.int/images/stories/Yemen_epi_d_update_20170720.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
23 July 2017

Highlights
From 27 April to 22 July 2017, 384,719 suspected cholera cases and 1,858 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88.6% (295/333) of the districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 53.5% (205,933/384,719) of the cases reported since 27 April 2017.
 Al Dhaele?e, Al Mahwit and Amran governorates had the highest attack rates (28.7?, 28.3?
and 25.7? respectively)
 Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.3% ,0.9% and
0.8% respectively) (see table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 22 July 2017

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http://www.emro.who.int/images/stories/Yemen_daily_epi_update_20170723.pdf?ua=1

[Ronan Kelly]

YEMEN: cholera outbreak
Weekly epidemiology bulletin
Week 29 - 2017
Highlights
? During week 29 (from 16 to 22 July 2017), 34 253 suspected cholera cases and 44
deaths were reported in Yemen.
? Since the beginning of this outbreak second wave (from 27 April to 23 July 2017),
390,865 suspected cholera cases, and 1 864 deaths (CFR: 0.5%) have been reported
in 21 of the country 23 governorates (91.0%), and in 88.6% of the districts (295/333).
? About 2% of the total population have been affected.
? The overall epidemic curve shows that the peak of this second wave was reached
week 26 and the number of new suspected cholera cases is steadily declining.


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http://www.emro.who.int/images/stories/Yemen_epi_bulletin_20170724.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
25 July 2017

Highlights
From 27 April to 24 July 2017, 396,086 suspected cholera cases and 1,869 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88.6% (295/333) of the districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 53.2% (210,718/396,086) of the cases reported since 27 April 2017.
 Al Mahwit, Al Dhaele?e, and Amran governorates had the highest attack rates (30.1?, 29.5?
and 26.5? respectively)
 Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.3% ,0.9% and
0.8% respectively) (see table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 24 July 2017


...

http://www.emro.who.int/images/stories/Yemen_daily_epi_update_20170725.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
26 July 2017

Highlights
From 27 April to 25 July 2017, 402,484 suspected cholera cases and 1,880 deaths (CFR: 0.5%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88.9% (296/333) of the districts.

Geographical distribution of cases
The five most affected governorates were Amanat Al Asimah, Al Hudaydah, Hajjah, Amran and Ibb
with 53.2% (214,281/402,484) of the cases reported since 27 April 2017.
 Al Mahwit, Al Dhaele?e, and Amran governorates had the highest attack rates (30.8?, 29.9?
and 26.8? respectively)
 Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.2% ,0.8% and
0.8% respectively) (see table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 25 July 2017

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http://www.emro.who.int/images/stories/Yemen_daily_epi_update_20170726.pdf?ua=1

[Ronan Kelly]

YEMEN: Cholera Outbreak
Daily epidemiology update
27 July 2017

Highlights
From 27 April to 26 July 2017, 408,583 suspected cholera cases and 1,885 deaths (CFR: 0.4%) have
been reported in 91.3% (21/23) of Yemen governorates, and 88.9% (296/333) of the districts.

Geographical distribution of cases
The five most affected governorates were Al Hudaydah , Amanat Al Asima, Hajjah, Amran and
Dhamar with 53% (216,874/408,583) of the cases reported since 27 April 2017.
 Al Mahwit, Al Dhaele?e, and Amran governorates had the highest attack rates (31.3?, 30.4?
and 27.2? respectively)
 Raymah ,Hajjah and Ibb governorates reported the highest case fatality ratios (1.2% ,0.8% and
0.8% respectively) (see table).

Number of suspected cholera cases & deaths, AR and CFR by governorate, Yemen, 27 April ? 26 July 2017

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http://www.emro.who.int/images/stories/Yemen_daily_epi_update_20170727b.pdf?ua=1