Somalia: 2019 Cholera

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Source: http://www.emro.who.int/pandemic-epi...arch-2019.html
Outbreak update ? Cholera in Somalia, 7 March 2019



7 March 2019 ? The Ministry of Health of Somalia has announced 61 new suspected cases of cholera, with no deaths, for epidemiological week 8 (18 to 24 February) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to closure of cholera treatment centers, from which the data is collected. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 6509, including 45 associated deaths. During this reporting period, all of the cases were reported from 11 out of 17 districts in Banadir region, with Howlwadag, Shangani and Madina the most affected districts. Of the 61 cases reported during week 8, 59% (36) are children below 5 years of age.
The cholera outbreak was contained in the districts of Jubaland, Hirshabelle and South West States following implementation of oral cholera vaccination (OCV) campaigns and other health interventions. However, active transmission is still being reported in 11 districts of the Banadir region (Darkenly, Daynile, Hodan, Madina, Abdiaziz, Hamarjabjab, Howlwadag, Kaaran, Wardigley Waberi and Shangani).
Since the beginning of 2019, 22 stool samples have been collected and tested in the National Public Health Laboratory in Mogadishu. During this reporting period, one case was confirmed positive for Vibrio cholerae, serotype O1 Ogawa.
WHO continues to provide leadership and supports the health authorities and partners in activities to mitigate the outbreak. The disease surveillance system is managed by the electronic Early Warning Alert and Response Network (EWARN) system with the support of WHO and is currently being expanded to all health facilities across the country. WHO and the Ministry of Health continue to monitor outbreak trends through the EWARN system and promptly investigate and respond to all alerts.

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Source: http://www.emro.who.int/pandemic-epi...-14-april.html
7 April 2019 ? The Ministry of Health of Somalia has announced 30 new suspected cases of cholera, with no deaths, for epidemiological week 15 (8 to 14 April) in 2019. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 7063, including 46 associated deaths.
Of the 30 cases reported during week 15, 57% are children below 5 years of age, and none received Oral Cholera Vaccine (OCV) in 2018/19 campaigns. Internally Displaced People in Banadir are the most affected, due to limited access to safe water and sanitation in their surroundings.
The cholera outbreak has been contained in the districts of Jubaland, Hirshabelle and South West States following implementation of control and preventive measures in these areas, including OCV campaigns.
Since the beginning of 2019, 9 of 103 stool samples collected and tested in the National Public Heatlh Laboratory in Mogadishu came back positive for V. Cholerae, serotype O1 Ogawa by culture.
WHO continues to provide leadership and support to the health authorities and partners to scale up the activities to mitigate the impact of the cholera outbreak. The disease surveillance system is managed through the Electronic Early Warning Alert and Response Network (EWARN) system with the support of WHO and is currently being expanded to all health facilities across the country. WHO and the Ministry of Health continue to monitor outbreak trends through the EWARN system and promptly investigate and respond to all alerts. The Ministry of Health is planning to implement OCV campaigns in ten districts within Mogadishu and surrounding areas.

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Source: http://www.emro.who.int/pandemic-epi...pril-2019.html
Outbreak update ? Cholera in Somalia, 28 April 2019

07 May 2019 ? The Ministry of Health (MoH) of Somalia has announced 36 new suspected cases of cholera, with no deaths, for epidemiological week 17 (22 to 28 April) in 2019. No cases were reported between epidemiological weeks 1 and 7 due to closure of the main cholera treatment center, from which data is collected. MoH has reported 7140 cases and 46 deaths since the beginning of this outbreak in December 2017.
During the reporting period, cases occurred in 11 out of 17 districts in Banadir region, the worst affected district are Hodan (728), Daynile (613) and Madina (595), and 66.66% of the cases (24) are children below 5 years of age.
WHO, MoH and partners have contained the cholera outbreak in the districts of Jubaland, Hirshabelle and South West States following implementation of oral cholera vaccination (OCV) campaigns and other health interventions. However, active transmission is ongoing in 11 districts in Banadir Darkenly, Daynile, Hodan, Madina, Hamarjabjab, Howlwadag, Bondere, Kahda, Kaaran, Waberi and Warta nabada).
This year, 114 stool samples have been collected and tested in the National Public Health Laboratory in Mogadishu. During this reporting period, 10 cases were confirmed for Vibrio cholerae, serotype O1 Ogawa by culture.
WHO continues to provide leadership and support to health authorities and partners for outbreak mitigating measures. For disease surveillance, WHO supports the electronic Early Warning Alert and Response Network (eEWARN) system which is currently expanding to include all health facilities in Somalia. WHO and MoH continue to monitor outbreak trends via eEWARN, promptly investigating and responding to all alerts.

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Source: http://www.emro.who.int/pandemic-epi...-may-2019.html
Outbreak update - Cholera in Somalia, 19 May 2019


30 May 2019 ? The Ministry of Health of Somalia has announced 55 new suspected cases of cholera, with no deaths, for epidemiological week 20 (13 to 19 May) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to closure of main cholera treatment center, from which the data is collected. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 7290, including 46 associated deaths. During this reporting period from February 19 May 2019, all of the cases were reported from 16 districts in Banadir region. Of the 55 cases reported during week 20, 65% of the cases (24) are children below 5 years of age.


The cholera outbreak has been contained in the districts of Jubaland, Hirshabelle and South West States following implementation of oral cholera vaccination (OCV) campaigns and other health interventions in these areas. However, active transmission is still being reported in Banadir region (Darkenly, Daynile, Hodan, Madina, Hamarjabjab, HamarWeine, Howlwadag, Bondere, Kahda, Waberi, and Warta nabada).


Since the beginning of 2019, 153 stool samples have been collected and tested in the National Public Health Laboratory in Mogadishu. During this reporting period, 11 cases were confirmed for Vibrio cholerae, serotype O1 Ogawa by culture.


WHO continues to provide leadership and support the health authorities and partners in activities to mitigate the outbreak. The disease surveillance system is managed by the electronic Early Warning Alert and Response Network (eEWARN) system with the support of WHO and is currently being expanded to all health facilities across the country. WHO and the Ministry of Health continue to monitor outbreak trends through the EWARN system and promptly investigate and respond to all alerts.

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Source: http://www.emro.who.int/pandemic-epi...june-2019.html
Outbreak update ? Cholera in Somalia, 2 June 2019



10 June 2019 ? The Ministry of Health of Somalia has announced 133 new suspected cases of cholera, with no deaths, for epidemiological week 22 (27 May to 2 June) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to closure of main cholera treatment center, from which the data is collected. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 7501, including 46 associated death cases. During this reporting period, cases were reported from 17 districts in Banadir region. 77% of cases (102) are children below 5 years of age.
The cholera outbreak has been contained in the districts of Jubaland, Hirshabelle and South West States following implementation of oral cholera vaccination (OCV) campaigns and other health interventions. However, active transmission is still reported in Banadir region. Dry weather conditions in Banadir have reduced access to safe water and proper sanitation, which has led to an increase of cholera cases - from 78 in week 21 to 133 in week 22, in 13 of Banadir's 17 districts.
Since the beginning of 2019, 186 stool samples have been collected and tested in the National Public Heatlh Laboratory in Mogadishu. During this reporting period, 14 cases were confirmed for Vibrio cholerae, serotype O1 Ogawa, by culture.
WHO continues to provide leadership and support the health authorities and partners in activities to mitigate the outbreak. The disease surveillance system is managed by the electronic Early Warning Alert and Response Network (eEWARN) system with the support of WHO and is currently being expanded to all health facilities across the country. WHO and the Ministry of Health continue to monitor outbreak trends through the eEWARN system and promptly investigate and respond to all alerts.

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Source: http://www.emro.who.int/pandemic-epi...june-2019.html

Highlights

? During week 24, a total of 152 new cases and no deaths were reported from 14 districts of Banadir region. No cholera cases were reported from other regions.

? Since December 2017, a total of 7,802 cumulative cases including 46 deaths (CFR 0.6%) were reported from 3 states of Somalia (Hirshabelle, Jubbaland and South West state) and Banadir region.

? Since December 2017 a cumulative attack rate of 183 persons per 100,000 population was reported with Kismayo (Jubbaland) and Daynile (Banadir) the most affected.

? The overall case Fatality Rate (CFR 0.6%) was reported with Daynile,Waberi,Karan and Kurtunwarey exceeding the WHO?s threshold of <1%.

? Of the 640 stool samples tested since December 2017, a total of 146 samples were tested positive for Vibrio cholerae serotype.

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Source: http://www.emro.who.int/pandemic-epi...july-2019.html

... Highlights

• During week 27, 114 new cases and no deaths were reported from 15 districts of Banadir region and 1 district in Gedo region
• Since December 2017, a total of 8,252 cumulative cases including 46 deaths (CFR 0.6%) were reported from 3 states
• of Somalia (Hirshabelle, Jubbaland and South West state) and Banadir region
• Since December 2017 a cumulative attack rate of 189 person per 100,000 population was reported with Kismayo(Jubbaland) and Daynile (Banadir) the most affected.
• The overall case Fatality Rate (CFR 0.6%) was reported with Daynile,Waberi,Karan and Kurtunwarey exceeding the WHO?s threshold of <1%
• Of the 682 stool samples tested since December 2017, a total of 147 samples were tested positive for Vibrio cholerae serotype...

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Source: http://www.emro.who.int/pandemic-epi...ober-2019.html Outbreak update – Cholera in Somalia, 6 October 2019



22 October 2019 – The Ministry of Health (MoH) of Somalia has announced 54 new suspected cases of cholera, with no deaths, for epidemiological week 40 (30 September – 6 October) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to the closure of the main cholera treatment center from which the data was collected. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 8832, including 46 associated deaths. During this reporting period, all of the cases were reported from a total of 27 districts in Banadir and Lower Jubba regions. Of the 54 cases reported during week 40, 69% of the cases (37) are children below 5 years of age.
The cholera outbreak has been contained in the districts of Jubaland, Hirshabelle and South West States following the implementation of oral cholera vaccination (OCV) campaigns and other health interventions in these areas. Active transmission is still reported in Banadir region and cases are now also being reported among displaced populations in Badhadhe region of Lower Jubba. The displaced communities have limited access to safe water due to the contamination of water sources resulting from periodic rains that have been received in the region.
The overall reduction in the number of new cholera cases is attributed to improved implementation of preventive interventions including OCV and the strengthening of water, sanitation and hygiene (WaSH) activities in hot spots.
Of the 820 stool samples tested since December 2017, a total of 162 samples tested positive for Vibrio cholerae.
During weeks 24 and 26 WHO and MoH implemented OCV campaign in 6 cholera high risk districts of Kahda, Hamajajab and Heliwa in Banadir region as well as Kismayo, Balad and Afgoi. A total of 621 875 (96.7%) of people aged 1 year and above received the first dose of cholera vaccine.
WHO continues to provide leadership and supports the health authorities and partners in activities to mitigate the outbreak. Disease surveillance is being managed through the Electronic Early Warning Alert and Response Network (EWARN) system with the support of WHO and is currently being expanded to all health facilities across the country. WHO and the MoH continue to monitor outbreak trends through the EWARN system and promptly investigate and respond to all alerts.

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Source: http://www.emro.who.int/pandemic-epi...ober-2019.html

Outbreak update – Cholera in Somalia, 20 October 2019



14 November 2019 – The Ministry of Health (MoH) of Somalia has announced 41 new suspected cases of cholera, with no deaths, for epidemiological week 42 (14 – 20 October) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to the closure of the main cholera treatment center from which the data was collected. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 8912, including 46 associated deaths. During this reporting period, all of the cases were reported from a total of 27 districts in Banadir and lower Jubba regions. Of the 41 cases reported during this week, 63% of the cases (26) are children below 5 years of age.

The cholera outbreak has been contained in the districts of Jubaland, Hirshabelle and South West States following the implementation of oral cholera vaccination (OCV) campaigns and other health interventions in these areas. Active transmission is still reported in Banadir. These areas have experienced heavy rains in the recent past that may have contributed to the contamination of water sources leading to repeated cholera outbreaks. Over the past two weeks there has been an increase in the number of cholera cases reported from 39 to 41 cases. Only eight out of the 17 districts of Banadir reported new cholera cases during the week with the most affected districts being Darkenley, Madina, Hodan and Jubba.

Reports from the United Nations Office for the Coordination of Humanitarian Affairs (UN OCHA) show that over 80 000 people have been displaced from 16 districts located in the basins of rivers Shabelle and Jubba. These communities have limited access to safe water and proper sanitation. This implies that the chances of cholera outbreak in these districts is very high.

The overall reduction in the number of new cholera cases as compared to the numbers at the beginning of the outbreak is attributed to improved implementation of preventive interventions including OCV and strengthening water, sanitation and hygiene (WaSH) activities in hot spots.

Of the 820 stool samples tested since December 2017, a total of 162 samples tested positive for Vibrio cholerae. In week 42, 34 stool samples were tested with Rapid Diagnostic Test (RDT) out of which seven came out positive.
In June 2019, WHO and MoH implemented an OCV campaign in six cholera high risk districts of Kahda, Hamajajab and Heliwa in Banadir region as well as Kismayo, Balad and Afgoi. A total of 621 875 (96.7%) of people aged one year and above received the first dose of cholera vaccine.
WHO continues to provide leadership and supports the health authorities and partners in activities to mitigate the outbreak. The disease surveillance system is managed by the Electronic Early Warning Alert and Response Network (EWARN) system with the support of WHO and is currently being expanded to all health facilities across the country. WHO and the MoH continue to monitor outbreak trends through the EWARN system and promptly investigate and respond to all alerts.




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Source: http://www.china.org.cn/world/Off_th...t_75478450.htm

Cholera outbreak kills 7 people in SW Somalia
Xinhua, December 4, 2019

MOGADISHU, Dec. 4 (Xinhua) -- An outbreak of cholera has killed seven people in Somalia's southwestern region of Bakol, an official confirmed on Wednesday.

Abdullahi Mohamed Nur, deputy governor of Bakol region told journalists that acute watery diarrhea broke out in Bakol region causing the deaths.

"Cholera killed seven people, five of them are children while two others are adults," Nur said.

"No humanitarian aid has been delivered to the region, hence we appeal to the international aid agencies to provide urgent help to these local victims," he added...

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Source: http://www.emro.who.int/pandemic-epi...mber-2019.html

Outbreak update – Cholera in Somalia, 22 December 2019



26 December 2019 – The Ministry of Health of Somalia has announced 122 new suspected cases of cholera, with no death, for epidemiological week 51 (16‒22 December) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to the closure of the main cholera treatment centre from which the data were collected. The cumulative total number of suspected cholera cases since the beginning of the outbreak in December 2017 is 9732, including 50 associated deaths. During this period, all of the cases were reported from a total of 27 districts in Banadir and lower Jubba regions. Of the 126 cases reported during week 51, 70% of cases (86) were children below 5 years of age.
The cholera outbreak has been contained in Hirshabelle, Jubaland and South West states following the implementation of oral cholera vaccination (OCV) campaigns and other health interventions. Active transmission is still reported in Banadir where the most affected districts are Darkenley, Deynile, Hodan and Madina Hamer Jabjab. These areas have experienced heavy rains in the recent past that may have contributed to the contamination of water sources leading to repeated cholera outbreaks. Over the past two weeks there has been an increase in the number of cholera cases reported.
The overall reduction in the number of new cholera cases compared to the beginning of the outbreak is attributed to improved implementation of preventive interventions, including OCV and the strengthening of water, sanitation and hygiene (WaSH) activities in key areas.
Of the 932 stool samples tested since December 2017, a total of 210 samples were positive for Vibrio cholerae.
In June 2019, WHO and the Ministry of Health implemented an OCV campaign in the six cholera high risk districts of Hamajajab, Heliwa and Kahda in Banadir, as well as Afgoi, Balad and Kismayo. A total of 621 875 (96.7%) people aged one year and above received the first dose of the cholera vaccine.
WHO continues to provide leadership and support for the health authorities and their partners in implementing activities to mitigate the outbreak. Disease surveillance is being managed with the support of WHO through an electronic system known as the Early Warning Alert and Response Network (EWARN), which is being expanded to all health facilities across the country. WHO and the Ministry of Health continue to monitor outbreak trends through EWARN and promptly investigate and respond to all alerts.

[Shiloh]

Source: http://www.emro.who.int/pandemic-epi...mber-2019.html

Outbreak update – Cholera in Somalia, 29 December 2019



8 January 2020 – The Ministry of Health of Somalia has announced 126 new suspected cases of cholera, with no deaths reported for epidemiological week 52 (23‒29 December 2019). No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to the closure of the main cholera treatment centre from which the data were collected. The cumulative total number of suspected cholera cases since the beginning of the outbreak in December 2017 is 9861, including 50 associated deaths. During this period, all of the cases were reported from a total of 27 districts in Banadir and lower Jubba regions. Of the 126 cases reported during week 52, 67% of the cases (84) were children under 5 years of age.
The cholera outbreak has been contained in the districts of Hirshabelle, Jubaland, and South West states following the implementation of oral cholera vaccination (OCV) campaigns and other health interventions. Active transmission is still reported in Banadir where the most affected districts are Darkenley, Deynile, Hodan and Madina Hamer Jabjab. These areas have experienced heavy rains in the recent past that may have contributed to the contamination of water sources leading to repeated cholera outbreaks. Over the past two weeks there has been an increase in the number of cholera cases reported.
The overall reduction in the number of new cholera cases compared to the numbers at the beginning of the outbreak is attributed to improved implementation of preventive interventions, including OCV and the strengthening of water, sanitation and hygiene (WaSH) activities in key areas.
Of the 983 stool samples tested since December 2017, a total of 222 samples were positive for Vibrio cholerae. In week 52, no stool samples tested positive by rapid diagnostic test.
In June 2019, WHO and the Ministry of Health implemented an OCV campaign in the six districts of Afgoi, Balad, Hamajajab, Kismayo and Heliwa and Kahda in Banadir at high risk for cholera. A total of 621 875 (96.7%) individuals aged one year and older received the first dose of the cholera vaccine.
WHO continues to provide leadership and support health authorities and partners in implementing activities to mitigate the outbreak. Disease surveillance is being managed with the support of WHO through an electronic system known as the Early Warning Alert and Response Network (EWARN), which is being expanded to all health facilities across the country. WHO and the Ministry of Health continue to monitor outbreak trends through EWARN and promptly investigate and respond to all alerts.