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Malawi: 2022 - 2023 Cholera outbreak

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  • Malawi: 2022 - 2023 Cholera outbreak


    Source: https://malawi24.com/2022/03/03/chol...ded-in-malawi/

    Cholera case recorded in Malawi
    Mar 03, 2022 Lindiwe Sambalikagwa Health
    Malawi24.com

    The Malawi Ministry of Health says a case of Cholera has been confirmed at Machinga District Hospital.

    Secretary for Health Dr. Charles Mwansambo has said in a statement today that the case was recorded yesterday but the patient reported to the facility on 28th February 2022.

    “Rigorous investigations isolated V.Cholerae 1. He is a 57 old male from Balaka District. This is the first case of cholera in the current 2021 – 2022 cholera season,” said Mwansambo...

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    • #3
      Source: https://www.voanews.com/a/southern-m...s/6502938.html

      Southern Malawi Records Continued Rise in Cholera Cases
      March 26, 2022 3:33 PM
      Lameck Masina


      Blantyre, Malawi —

      Southern Malawi has started recording a rise in cholera cases, which health authorities blame on flooding from a recent tropical storm and cyclone. More than 30 people have been infected and two have died. UNICEF is intervening to reduce the spread of the disease.

      Malawi confirmed the first cholera case March 2 in the Machinga district.

      Health authorities say the disease has so far hit the Nsanje and Machinga districts in southern Malawi with a cumulative number of cases now reaching 33. There have been two deaths as of Friday.

      “Out of 33 cases, eight cases were still receiving treatment at the cholera treatment center, Ndamera treatment center specifically. We also have a cumulative number of two deaths. The rest were discharged,” said George Mbotwa, the spokesperson for the Nsanje District Health Office...

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      • #4
        WEEKLY BULLETIN ON OUTBREAKS
        AND OTHER EMERGENCIES

        Week 14: 28 March – 3 April 2022
        Data as reported by: 17:00; 3 April 2022

        ...

        Cholera Malawi

        56 cases
        2 Deaths
        3.6% CFR


        EVENT DESCRIPTION

        The Southern region of Malawi was severely affected by the tropical
        storm Ana and cyclone Gombe that caused torrential rains and
        floods between late January and February 2022. The displaced
        populations remained with no access to safe drinking water and
        sanitation facilities and thus at risk of widespread disease outbreaks
        including cholera.

        On 3 March 2022, the Malawi Ministry of Health (MoH) declared a
        cholera outbreak in the country, following confirmation of a case in a
        57-year-old male from Balaka District in Southern Malawi. The case
        was identified in Machinga district hospital with suspect cholera
        symptoms on 28 February 2022. The stool sample collected from
        the case-patient tested positive for cholera by culture and Vibrio
        cholerae Inaba was isolated.

        A separate locus of cholera cases linked to Mozambique was
        reported in Nsanje district, with two initial cases reported on 14
        March 2022. One of the cases was a Malawian who was displaced to
        Mozambique after the tropical cyclone Ana but returned to Malawi
        after developing cholera-like symptoms on 13 March 2022. The
        cases were managed at Ndamera health centre on 14 March 2022.
        As of 3 April 2022, there have been 54 cholera cases recorded
        including nine confirmed by culture and two deaths, a case fatality
        ratio (CFR) of 3.9%. Two districts have so far been affected. Nsanje
        district has reported the highest number of cases, accounting for
        96% (54 cases) of the national total, with two deaths. Machinga
        district has reported 2 cases (4.0%). Males and females have been
        equally affected. The ages of the cases range between 2 and 57
        years, with the 5-14 years age group most affected.

        Although many cases, 28 (55%), are imported from Mozambique,
        in Morrumbala, Sofala province, some have been reported from
        local areas and are on a rising trend.

        Nsanje conducted a pre-emptive campaign targeting 80% of the
        district population for individuals aged one year and above in 2020.

        This campaign was however limited to localised hotspot locations
        at the time.

        PUBLIC HEALTH ACTIONS

        The MoH declared a cholera outbreak in the country.

        There are national and district level EOCs established and
        are currently coordinating the response in collaboration with
        other sectors and partners.

        A costed national cholera response plan is in place and WHO
        along with other partners are supporting its implementation.
        A joint team of MoH and WHO completed field supportive
        supervision including risk and needs assessment. A
        comprehensive report is being prepared.

        Four data managers and two public health officers were
        engaged and deployed to the affected districts for data
        management.

        WHO has provided cholera kits and other supplies, which are
        being distributed to the affected districts.

        A request for oral cholera vaccine was submitted to the ICG
        and more than 3 000 000 million doses of vaccines targeting
        eight high risk districts were approved.

        Two cholera treatment centres have been established, one
        at Nsanje District Hospital and the other at Ndamera health
        centre.

        Cross-border surveillance engagements have been initiated
        with Mozambique.

        SITUATION INTERPRETATION

        Cholera was first reported in Malawi in 1973 when the seventh
        pandemic wave hit East Africa. From 1998 to date, cholera
        cases have been reported every year with significant morbidity
        and mortality on affected populations especially in the Southern
        region, which is low lying, flat and prone to flooding during
        the rainy season. The current cholera outbreak has shown an
        increasing trend especially in Nsanje district where most cases
        have been reported. A national coordination structure is in
        place; however, the weak early warning and community-based
        surveillance may increase the risk of a widespread outbreak.

        PROPOSED ACTIONS

        Hotspot districts should maintain a checklist of key cholera
        preparedness items and stocks

        WHO and MOH to follow up on cross border engagements
        for a joint cholera response with Mozambique

        Strengthen routine integrated surveillance and response,
        including trend analyses for routine monitoring and early
        detection

        View/Open

        OEW14-280303042022.pdf (‎1.938Mb)‎

        https://apps.who.int/iris/handle/10665/352849
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

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        • #5
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          • #6
            WEEKLY BULLETIN ON OUTBREAKS
            AND OTHER EMERGENCIES

            Week 16: 11 – 17 April 2022
            Data as reported by: 17:00; 17 April 2022
            ...

            All events currently being monitored by WHO AFRO

            ...
            Malawi Cholera
            ...

            Total cases 64
            Deaths 3
            CFR 4.7%



            The Malawian Ministry of Health declared a cholera outbreak on 3 March 2022. This was after a case was identified in a 53-years old business man, resident of Balaka district. He had onset of symptoms on 25 February 2022 and sought medical care at Muchinga District Hospital on 28 February 2022 where he was identified and a stool specimen was collected from him. Laboratory results by culture confirmed him positive for Cholera on 3 March 2022. As of 17 April 2022, Malawi has reported a total of 64 cholera cases with three deaths.


            View/Open

            OEW16-1111720422022.pdf (‎2.407Mb)‎
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #7
              WEEKLY BULLETIN ON OUTBREAKS
              AND OTHER EMERGENCIES

              Week 17: 18 – 24 April 2022
              Data as reported by: 17:00; 24 April 2022

              ...
              All events currently being monitored by WHO AFRO
              ...
              Malawi Cholera
              ...
              The Malawian Ministry of Health declared a cholera outbreak on 3 March 2022. This was after a case was identified in a 53-years old business man, resident of Balaka district. He had onset of symptoms on 25 February 2022 and sought medical care at Muchinga District Hospital on 28 February 2022 where he was identified and a stool specimen was collected from him. Laboratory results by culture confirmed him positive for Cholera on 3 March 2022. As of 24 April 2022, Malawi has reported a total of 78 cholera cases with four deaths.
              ...

              OEW17-1824042022.pdfSize:3.391MbFormat:PDF
              View/Open
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • #8
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                • #9

                  Source: https://malawi24.com/2022/05/04/chol...ded-in-malawi/

                  Cholera: 100 cases, five deaths recorded in Malawi
                  May 04, 2022 Mwayi Mkandawire

                  The Ministry of Health says Malawi has recorded 100 Cholera cases and five deaths since February this year.

                  This is according to a statement released by the Ministry today.

                  So far five districts have been affected, namely Blantyre, Nsanje, Neno, Chikwawa and Machinga.

                  The first case in Malawi was reported at Machinga District Hospital on 28th February 2022 but was a resident of Balaka District.

                  Then on 14th March 2022, the next case was reported at Nsanje District Hospital...

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                  • #10
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                    • #11
                      Source: https://malawi24.com/2022/05/10/mala...cholera-cases/

                      Malawi records 17 new Cholera cases
                      May 10, 2022 Russell Kondowe

                      Malawi has recorded 17 new Cholera cases, including 11 cases from Blantyre.

                      According to an update released by the Ministry of Health yesterday, Chikwawa and Nsanje districts have recorded one new case each while Neno district has registered four new cases.

                      The new cases have taken the total number of cases recorded in the country to 160.

                      Currently, 21 cases are in admission; four cases in Blantyre, one case in Chikwawa, 15 cases in Neno and one case in Nsanje.

                      So far, Malawi has recorded six deaths from Cholera and districts affected by the outbreak include Nsanje 89 cases, Neno 28 cases, Blantyre 36 cases, Machinga twocases and Chikwawa five cases.

                      The Ministry of Health has since called for the need to improve access to safe water and coverage on sanitation as well as risk communication and community engagement...

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                      • #12
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                        • #13
                          WEEKLY BULLETIN ON OUTBREAKS
                          AND OTHER EMERGENCIES

                          Week 20: 9 – 15 May 2022
                          Data as reported by: 17:00; 15 May 2022

                          ...

                          Cholera Malawi

                          242 cases
                          10 Deaths
                          4.1% CFR


                          EVENT DESCRIPTION

                          The outbreak of cholera in Malawi which was declared on 3 March
                          2022, continues to evolve with an increase in new cases over the
                          past three consecutive weeks. The declaration came, following
                          confirmation of the index case, a 57-year-old male from Southern
                          Malawi, who developed watery diarrhoea on 28 February and sought
                          care at a district hospital. Samples from the patient tested positive
                          by culture and Vibrio cholerae O1, serotype Inaba was isolated on
                          2 March. The case had a history of travel to two cities – Blantyre
                          and Machinga, prior to visiting the district hospital. Although an
                          epidemiological investigation was carried out, the source of the
                          infection was not identified.

                          On 7 March 2022, another case was identified involving an 11-yearold
                          boy at a local health centre in Nsanje district. The case was
                          displaced to Mozambique following floods caused by the tropical
                          cyclone and returned to Malawi while symptomatic. Subsequently,
                          several other cases have been reported in Nsanje and other districts,
                          bordering Mozambique where cholera is endemic. The number of
                          cases in rural areas of Malawi is also increasing.

                          As of 15 May 2022, a total of 242 cases with 10 deaths (CFR 4.1%)
                          have been reported since the onset of the outbreak.

                          The cases have been reported from five districts: Nsanje (106),
                          Blantyre (64), Neno (48), Chikwawa (22), and Machinga (2). The 10
                          deaths were registered from Nsanje (7), Blantyre (2), and Neno (1).
                          Sex and age distribution shows males and individuals aged 5-14
                          years as the most affected respectively. Currently 26 cases are on
                          admission in the treatment centers and 169 cases discharges so
                          far.

                          PUBLIC HEALTH ACTIONS

                          The Ministry of Health and partners are supporting the
                          implementation of the National Cholera Response Plan in Malawi
                          with specific activities to control the ongoing Outbreak:

                          National and district-level emergency operation centres (EOCs)
                          were activated and are currently coordinating the response in
                          collaboration with other health sectors and partners.

                          Initial mapping of the high risk/ hotspot districts was conducted
                          in late February 2022, after the landfall of a tropical storm, and
                          an update was conducted on 25 March 2022.

                          Cholera preparedness training was conducted from 21 to 22
                          April 2022 in Nsanje district.

                          WHO provided cholera kits and other supplies to the affected
                          districts.

                          The International Coordination Group (ICG) on vaccine
                          provision has approved a request of more than 3.8 million
                          doses of oral cholera vaccine for reactive campaign targeting
                          eight high-risk district. So far, over 1.9 million OCV doses
                          have been shipped to the country for the first round of reactive
                          vaccination campaign.

                          Preparatory activities are ongoing for the first phase of the
                          reactive OCV campaign which is expected to commence during
                          the third week of May 2022.

                          Community sensitization on hand washing as well as provision
                          of water purification tablets are ongoing.

                          Surveillance activities including, trainings and active case
                          search, for cholera and other diarrheal diseases have been
                          enhanced in health facilities and communities.

                          SITUATION INTERPRETATION

                          The current cholera outbreak comes in the aftermath of the recent
                          tropical storm Ana and cyclone Gombe that hit the Southern region
                          of Malawi in February 2022. Plagued by poor water sanitation and
                          hygiene (WASH) infrastructure, the region has been among the
                          hotspots for cholera in the country with the floods exacerbating the
                          situation. While reactive vaccinations have been planned and other
                          public health response activities are ongoing, medium to long term
                          interventions should focus on the investment in improving access
                          to WASH infrastructures to prevent the recurrence of cholera and
                          other food-and-water-borne disease outbreaks in the region.

                          View/Open

                          OEW20-0915052022.pdf (‎1.913Mb)‎

                          https://apps.who.int/iris/handle/10665/354389
                          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                          -Nelson Mandela

                          Comment


                          • #14
                            WEEKLY BULLETIN ON OUTBREAKS
                            AND OTHER EMERGENCIES

                            Week 21: 16 – 22 May 2022
                            Data as reported by: 17:00; 22 May 2022

                            ...
                            All events currently being monitored by WHO AFRO
                            ...

                            Malawi Cholera Ungraded

                            Date notified to WCO 3-Mar-22
                            Start of reporting period 3-Mar-22
                            End of reporting period 21-May-2022

                            Total cases 332
                            Cases Confirmed 13
                            Deaths 15
                            CFR 4.5%


                            The Malawian Ministry of Health declared a cholera outbreak on 3 March 2022. This was after a case was identified in a 53-years old businessman, resident of Balaka district. He had onset of symptoms on 25 February 2022 and sought medical care at Muchinga District Hospital on 28 February 2022 where he was identified, and a stool specimen was collected from him. Laboratory results by culture confirmed him positive for Cholera on 3 March 2022.Three new districts, Blantyre, Chikwawa and Neno have confirmed cholera cases. As of 21 May 2022, Malawi has reported a total of 332 cholera cases with 15 deaths.




                            This Weekly Bulletin focuses on public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 155 events in the region. This week’s articles cover: Wild Poliovirus type1 in Mozambique Ebola Virus Disease in the Democratic Republic of the Congo COVID-19 across the WHO African region Dengue Fever in Sao Tome and Principe
                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

                            Comment


                            • #15

                              WEEKLY BULLETIN ON OUTBREAKS
                              AND OTHER EMERGENCIES


                              Week 22 : 23 - 29 May 2022
                              Data as reported by: 17:00; 29 May 2022

                              ...
                              All events currently being monitored by WHO AFRO
                              ...
                              Malawi Cholera Ungraded

                              Date notified to WCO 3-Mar-22
                              Start of reporting period 3-Mar-22
                              End of reporting period 29-May-2022

                              Total cases 485
                              Cases Confirmed 13
                              Deaths 22
                              CFR 4.5%


                              The Malawian Ministry of Health declared a cholera outbreak on 3 March 2022. This was after a case was identified in a 53-years old businessman, resident of Balaka district. Laboratory results by culture confirmed him positive for Cholera on 3 March 2022. The seven districts affected include Nsanje (186 cases, nine deaths), Neno (88 cases, one death), Blantyre (153 cases. with 10 deaths, Machinga (9 cases,1 death), Chikwawa (40 cases), Mulanje(1case) and Balaka (8 cases, one death). As of 29 May 2022, Malawi has reported a total of 485 cholera cases with 22 deaths.


                              View/Open

                              OEW22-2329052022.pdf (‎2.568Mb)‎
                              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                              -Nelson Mandela

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