Somalia: 2018 Cholera

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Source: http://www.xinhuanet.com/english/201..._137526375.htm



Cholera outbreak kills 42 in Somalia in 10 months: UN
Source: Xinhua| 2018-10-12 01:14:37|Editor: yan

MOGADISHU, Oct. 11 (Xinhua) -- An outbreak of cholera/ acute watery diarrhea (AWD) in Somalia has killed 42 people since December, a UN health agency said on Thursday.

The World Health Organization (WHO) said in its latest report on the AWD/cholera outbreak that the Somali health ministry has also announced 29 new cases of cholera between Sept. 24 and 30. Among them, 45 percent were five years old or below.

The cumulative total of cases is 6,423, including 42 associated deaths, since the beginning of the current outbreak in December 2017, said the UN health agency.

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Source: http://www.emro.who.int/pandemic-epi...mber-2018.html
Outbreak update ? Cholera in Somalia, 8 November 2018



8 November 2018 ? The Ministry of Health of Somalia has announced 22 new suspected cases of cholera with no deaths for epidemiological week 43 (22 to 28 October) of 2018. Of these new cases, 68% (15 cases) were females. 40% (9 cases) were children below five years of age.
The cumulative total of cases is 6520, including 43 associated deaths (case-fatality rate 0.6%), since the beginning of the current outbreak in December 2017 along the Shabelle River. The outbreak has spread in the south and central regions and affected districts include Jowhar, Kismayo, Bulobarde, Afgoye, Merka and Banadir. Since week 28, the trend of cases has been declining, only Banadir region has been reporting cases and deaths in the last four weeks. Lower Jubba has reported zero cases for the last five weeks. In week 43, active transmission of AWD/cholera was reported in eight districts in the Banadir region; Darkenley, Daynile, Hawlwadag, Hodan, Karran, Madina, Waberi, and HamarWeine. Darkenley, Daynile, Hodan, and Medina have reported more than 450 cases cumulatively.
Stool samples have been collected from six cholera treatment units in four regions (Banadir, Hiraan, Lower Jubba and Middle Shabelle) and tested in the National Public Health Laboratory (NPHL) in Mogadishu. This reporting period, 15 stool samples were collected from Banadir hospital and seven samples tested positive for Vibrio cholerae, serotype O1 Ogawa. In total, of 296 stool samples that have been tested since the beginning of this year, 87 samples tested positive. Routine collection and analysis of stool samples has continued at NPHL.
WHO and the Ministry of Health continue to monitor outbreak trends through the early warning alert and response network (EWARN) system and promptly investigate and respond to all alerts. WHO also provides leadership and support to the health authorities and partners in activities to mitigate the outbreak, including on case management, surveillance and laboratory investigations, water, sanitation and hygiene (WASH) and risk communication. This week, refresher trainings on case management for health care workers in Banadir hospital were conducted, as well as trainings on sample collection and analysis of stool samples at the National Public Health Laboratory in Mogadishu.

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Source: http://www.emro.who.int/pandemic-epi...mber-2018.html
Outbreak update ? Cholera in Somalia, 22 November 2018

22 November 2018 ? The Ministry of Health of Somalia has announced 21 new suspected cases of cholera, with no deaths, for epidemiological week 45 (5 to 11 November) of 2018. Of these new cases, 67% (14) are females while 43% (9) are children below five years of age. The cumulative total of cases is 6560, including 44 associated deaths (case-fatality rate 0.6%), since the beginning of the current outbreak in December 2017 along the Shabelle River. As of today, of the 315 stool samples tested in the National Public Health Laboratory (NPHL) since the beginning of this year, 97 tested positive for Vibrio cholerae, serotype O1 Ogawa.
There has been a downward trend of suspected cases reported weekly over the past 17 weeks, from a peak of 296 cases in epidemiological week 23 to 21 cases in this reporting period. In week 45, active transmission of AWD/cholera was reported in eight districts in the Banadir region: Darkenley, Daynile, Hodan, Madina, Hamarjabab, Hawlwadag, Weberi and Wardigley. To date, 2813 cases, with 22 deaths (CFR 0.8%), have been reported only in Banadir, which represents 42% of the total cumulative number of cases in the country since the outbreak started. The Banadir region, which includes Mogadishu City, has one of the highest concentrations of internally displaced persons (IDPs), and access to safe water and proper sanitation is limited for this vulnerable population. All cases reported this week are among the IDP population.
WHO is providing leadership and support for activities with the Ministry of Health (MoH) to respond to this continued outbreak. WHO has continued to support clinical care delivery, including supervision and monitoring of case management in cholera treatment centers. Surveillance and investigation of rumors have been ongoing and promptly investigated, all alerts have been responded to across the country through the early warning alert and response network (EWARN), and routine collection and analysis of stool samples have continued at NPHL. During this reporting period, a mission from WHO?s Eastern Mediterranean Regional Office was done to assess the implementation of cholera response activities.

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Source: http://www.emro.who.int/pandemic-epi...mber-2018.html
Outbreak update ? Cholera in Somalia, 12 December 2018



12 December 2018 ? The Ministry of Health of Somalia has announced 32 new suspected cases of cholera (last week: 18 cases), with no deaths, for epidemiological week 48 (26 November to 2 December) of 2018. Of these new cases, 38% (12) are females while 69% (22) are children below five years of age. The cumulative total of cases is 6637, including 45 associated deaths (case-fatality rate 0.7%), since the beginning of the current outbreak in December 2017. Of the 334 stool samples collected since the beginning of the year, 103 tested positive for Vibrio cholerae. The latest stool samples tested in the National Public Health Laboratory (NPHL) in Mogadishu isolated V. Cholerae, serotype O1 Ogawa.
Active transmission was observed in nine districts in the Banadir region: Darkenley, Daynile, Hamarjabja, Hawlwadag, Hodan, Madina, Abdilaziz, HamarWeine, and Wardigley. The cases in Banadir represent 43.5% of the total number of reported cases in the country from the beginning of the outbreak. Banadir region, which includes Mogadishu City, has one of the highest concentrations of internally displaced persons (IDPs), who have limited access to safe water and proper sanitation. All cases reported this week are among the IDPs.
With the support of WHO, the Federal Ministry of Health and a local NGO called the Somali Young Doctors Association (SOYDA), have implemented an oral cholera vaccination (OCV) campaign in Kahda and Daynile districts in Banadir, and Arbis and Elasha in Afgoye districts in Lower Shabelle. Between 17 to 21 November, a total of 5579 people aged 1 year and above received OCV in five villages of Hudur, in the Bakool region in the southwest of the country. Another OCV campaign has been planned for February 2019, targeting 660 000 people living in IDP camps in six high-risk districts in the Lower Jubba, Middle Shabelle, Lower Shabelle, and Banadir regions.
WHO continues to provide leadership and support the health authorities and partners in activities to mitigate the outbreak, including case management, surveillance and laboratory investigations and water sanitation, hygiene (WASH) and risk communication.