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Ethiopia: 2022/2023 Cholera

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  • Ethiopia: 2022/2023 Cholera

    Source: https://reliefweb.int/report/ethiopi...ation-mdret028

    Ethiopia Cholera Outbreak 2022 - DREF Application (MDRET028)
    Format Situation Report
    Source IFRC
    Posted 5 Oct 2022
    Originally published 4 Oct 2022

    What happened, where and when?

    On 16 September 2022, the Ethiopia Ministry of Health declared a cholera outbreak in the Harana Buluk and Berbere woredas of Bale Zone, Oromia Region. From 17 to 20 September 2022, the Bole zone of the ERCS conduced a rapid assessment which was submitted to the ERCS Head Quarters on 25 September 2022. The assessment findings reveal that a total of 102 cases and one death from both woreda’s had been reported at that time.

    The key epidemiological indicators, at the time of writing, are as follows:

    The Attack Rate (AR) for Harana Buluk and Berbere woreda’s are 55.1/100,000 and 24.94 / 100,000 respectively.

    The Case Fatality Rate (CFR) for Harana Buluk is 1.47% while it remains at 0% for Berbere.

    Stool stamples from Harana Buluk and Berebere were tested at the Adama Regional lab. 8 out of 8 samples from Harana Buluk tested positive for Vibrio Cholera, while 11 out of 15 from Berebere tested positive.

    On 25 September 2022, a total of 16 new cholera cases (14 severe) were reported. There were no new deaths. While 2 patients were discharged, Cholera Treatment Centers (CTC) reported 14 new admissions. Anecdotally, the outbreak is also reported to have expanded to the Dolo Mena woreda, which constitutes a risk of further spread.

    Cholera outbreak response activities are ongoing in both woredas. This includes oral rehydration points (ORP) by the Ministry of Health, active case searching, mandatory zero reporting and alerting of neighbouring woredas...

  • #2
    Source: https://reliefweb.int/report/ethiopi...-1-10-october-

    Ethiopia: Bale Zone, Oromia Region Cholera Outbreak - Flash Update #1 As of 10 October 2022

    Format Situation Report
    Source OCHA
    Posted 13 Oct 2022
    Originally published 13 Oct 2022

    This report is prepared with the support and collaboration of cluster coordinators and humanitarian partners. This is an information product that might be followed by further updates. Boundaries, names and designations of districts/zones indicated in the narration in the report do not imply official endorsement or acceptance by the United Nations. Please contact ocha-eth-communication@un.org for any comment or question you may have on this publication.

    HIGHLIGHTS

    Cholera outbreak has been confirmed in 15 kebeles of 3 woredas (districts) in Bale Zone of Oromia. As of 10 October 2022, 191 cholera cases have been reported including 4 deaths.

    The Ethiopian Public Health Institute (EPHI), the Oromia Regional Health Bureau (ORHB), the World Health Organization (WHO) and partners have been responding since mid-September 2022...


    Comment


    • #3
      WEEKLY BULLETIN ON OUTBREAKS
      AND OTHER EMERGENCIES

      Week 42: 10 - 16 October 2022
      Data as reported by: 17:00; 16 October 2022

      ...

      Cholera Ethiopia

      233 cases
      5 Deaths
      CFR 2.1%


      EVENT DESCRIPTION

      Oromia and Somali regions of Ethiopia have been experiencing a
      cholera outbreak since 27 August 2022. As of 12 October 2022, a
      total of 233 cases of cholera and five deaths have been reported
      yielding a case fatality rate of 2.1%. Four woredas are currently
      experiencing active outbreaks including Kersadula (18 cases,
      7.7%) in the Somali region; and Berbere (125 cases, 53.6%),
      Harena Buluk (71 cases, 30.5%), and Delo Mena (19 cases,
      8.2%) in Oromia region.

      The cumulative attack rate is 50.9 cases per 100 000 population
      at risk. At the woreda level, the highest attack rate has been
      recorded in Berbere at 91.7 cases per 100 000 population at risk,
      followed by Harena Buluk at 58.0 cases per 100 000, Kersadula
      at 28.3 cases per 100 000, and Delo Mena at 13.9 cases per 100
      000. Children under the age of 5years account for 30.9% (72) of
      all cases and 52.0% (121) of all cases were male.

      At least 12 samples out of 16 collected have tested positive
      for cholera by either rapid diagnostic tests or culture methods.
      Notably, four samples out of four (100%) tested by culture
      from Harana Buluk woreda, and two samples out of four from
      Kersadula woreda, were all found positive for Vibrio cholerae.
      The risk of spread to other areas is high given that the affected
      regions, which are known cholera hotspots, have reported
      suspected cases from at least 18 villages. In addition, due to
      a situation of drought and conflict in the region, many people
      have been subject to internal displacement and patients have
      presented with severe dehydration (57.1%) and severe acute
      malnutrition (25.0%).

      Among cholera patients, 27.5% of patients were not vaccinated,
      7.7% had unknown vaccination status, while 40.8% had at least
      one oral cholera vaccine (OCV) dose and 24% had two OCV
      doses. An OCV campaign coverage study is being considered to
      further understand the epidemiological situation in the country.

      PUBLIC HEALTH ACTIONS

      A national cholera elimination plan is being implemented.
      Regional coordination to manage the outbreak is ongoing
      with functioning response structures.

      A surge team to support the response was deployed
      including officers from Ethiopian Public Health Institute,
      Regional Health Bureaus, and World Health Organization.

      Case investigations and active case searching is ongoing
      including contact tracing

      Infection prevention and control measures are being taken in
      the affected areas.

      Seven cholera treatment centres were established in the
      affected woredas: one in Kersadula, three in Berbere, two in
      Harena Buluk, and one in Dolo Mena.

      About 72 supportive and health care workers have been
      trained on case management.

      Cholera kits, medical supplies, and water, sanitation, and
      hygiene materials were provided to the affected woredas.
      Water sample collection, bacteriological test, and chlorine
      residual testing have been conducted.

      Surveys were conducted for checking quality of household
      water and availability of latrines.

      Risk communication messages were disseminated at
      marketplaces, schools, community gatherings, and among
      religious and community leaders.

      SITUATION INTERPRETATION

      The cholera outbreak in Ethiopia that began surging in August
      2022 has deteriorated in the past one month. The situation has
      mainly affected children under 5 years of age which combined
      with nutrition issues could be detrimental to the children in these
      areas and especially among those who are internally displaced.
      The two affected regions have faced challenges that include lack
      of access to safe drinking water, poor sanitation conditions, and
      overcrowding due to massive concentration of pilgrims at holy
      water sites and daily labourers in farming areas. Some areas of
      the country are difficult to access for transporting supplies due to
      internal conflicts and poor roads. Other outbreaks of COVID-19,
      anthrax, malaria, measles, meningitis, and anthrax are further
      burdening the health system.

      "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


      • #4
        WEEKLY BULLETIN ON OUTBREAKS
        AND OTHER EMERGENCIES

        Week 44: 24 to 30 October 2022
        Data as reported by: 17:00; 30 October 2022

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

        Ethiopia Cholera Ungraded

        Date notified to WCO 17-Sep-22
        Start of reporting period 17-Sep-22
        End of reporting period 29-Oct-22

        Total cases 331
        Cases Confirmed 4
        Deaths 17
        CFR 5.1%


        A cholera outbreak in ongoing in Ethiopia since 27 August 2022. The index case was reported from Bekay Kebele, Harana Buluk Woreda of Bale Zone, Oromia Region.
        As of 29 October 2022, a total of 331 suspected cases of cholera have been reported including 245 cases from Oromia region and 86 cases from Somali region. The
        cumulative attack rate is 63.7 per 100 000 population. Seventeen deaths have so far been reported, for a CFR of 5.1%. Five woredas have been affected: Berbere (n=152
        cases), Harena Buluk (n=71 cases), and Delo Mena (n=22 cases) in Bale Zone of Oromia region, and Guradamole (n=49 cases) and Kersadula (n=37 cases) in Liben
        Zone of Somali region. No case has been reported from Harena Buluk in the last 20 days, and from Dolo Mena in the last 13 days.


        "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


        • #5
          WEEKLY BULLETIN ON OUTBREAKS
          AND OTHER EMERGENCIES

          Week 46: 7 - 13 November 2022
          Data as reported by: 17:00; 13 November 2022

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

          Ethiopia Cholera Ungraded

          Date notified to WCO 17-Sep-22
          Start of reporting period 17-Sep-22
          End of reporting period 13-Nov-2022

          Total cases 399
          Cases Confirmed 15
          Deaths 17
          CF
          R 4.3%


          A cholera outbreak has been ongoing in Ethiopia since 27 August 2022. The index case was reported from Bekay Kebele, Harana Buluk Woreda of Bale Zone, Oromia Region. As of 13 November 2022, a total of 399 suspected cases of cholera have been reported including 274 cases from Oromia region and 125 cases from Somali region. At least 15 of these cases have been laboratory-confirmed through culture. The cumulative attack rate is 89.6 per 100 000 population. Seventeen deaths have been reported, for a CFR of 4.3%. Six woredas have so far been affected: Berbere (174 cases), Harena Buluk (71), Delo Mena (22), and Gura Damole (7) in Bale Zone of Oromia region, and Guradamole (88) and Kersadula (37) in Liben Zone of Somali region. A total of 38 Kebeles (villages) have reported one or several suspected cases of cholera since the beginning of the outbreak. Of note, no case has been reported from Harena Buluk in the last 36 days and from Dolo Mena over the last 29 days.

          https://apps.who.int/iris/bitstream/...0713112022.pdf
          "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


          • #6
            Source: https://english.news.cn/20221125/5b3...282c60a/c.html

            UN agency warns over cholera outbreak in Ethiopia as 20 deaths reported
            Source: Xinhua
            Editor: huaxia
            2022-11-25 01:09:15

            ADDIS ABABA, Nov. 24 (Xinhua) -- The United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) on Thursday warned over the ongoing cholera outbreak in southeastern Ethiopia as 20 deaths reported so far.

            The UNOCHA said in its latest situation update issued Thursday that some 491 cholera cases, including 20 deaths, have been reported in the affected areas as of Wednesday.

            The cholera outbreak has spread out to 41 localities of 4 districts in the Bale zone of Oromia region and 2 districts of Liban zone of Somali region, it said...

            Comment


            • #7
              Source: https://www.macaubusiness.com/humani...ire-un-agency/


              Humanitarian situation in Ethiopia remains dire: UN agency
              By
              Xinhua News Agency

              The humanitarian situation in Ethiopia remains dire due to the failure of the main production season that severely deteriorates household food security, the UN Children’s Fund (UNICEF) has warned.

              According to UNICEF, an active cholera outbreak is also ongoing in some areas in the Oromia and Somali regions, with 379 cholera cases and 17 deaths reported as of November 8.

              The use of unsafe water from contaminated water points, limited access to water and sanitation services, poor hygiene practices, including open defecation and lack of water treatment options have contributed to the rapid spread of the outbreak, it said.

              UNICEF said in addition to the cholera outbreak, the drought situation is creating pressing child protection needs and concerns such as separation of children from families, psychosocial distress as well as various forms of violence including gender-based violence and harmful practices, such as child marriage...

              In

              Comment


              • #8
                Source: https://english.news.cn/20221216/ab9...2e5b56e/c.html

                UN agency warns of cholera outbreak in Ethiopia
                Source: Xinhua
                Editor: huaxia
                2022-12-16 01:40:15

                ADDIS ABABA, Dec. 15 (Xinhua) -- The United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) on Thursday warned of the ongoing cholera outbreak in southeastern Ethiopia as the death toll climbed to 24.

                The UNOCHA said in its latest situation update issued Thursday that 669 cholera cases, including 24 deaths, have been reported in the affected areas as of Wednesday.

                It warned that close to 743,000 people are at high risk of the ongoing cholera outbreak across the eight affected districts...

                Comment


                • #9
                  bump this

                  Comment


                  • #10
                    Source: https://allafrica.com/stories/202301310498.html

                    Ethiopia: Ongoing Cholera Outbreak Kills 28 in Four Zones of Oromia, Somali Regions, Leaves Close to One Million People At High Risk: UN
                    31 January 2023
                    Addis Standard (Addis Ababa)

                    Addis Abeba — The latest report by the UN reveals that the Cholera outbreak has spread out to 66 kebeles of 8 woredas across Bale, Guji and West Arsi zones of Oromia and 2 woredas of Liban zone of Somali region, rising the total number of cholera cases reported as of 30 January 2023 to 1,055 - of whom 191 IDPs - including 28 associated deaths. Close to 1 million people are at high-risk in the 10 affected woredas.

                    As of 30 January 2023, 1,055 cholera cases have been reported in 6 woredas of Bale zone (Berbere, Harana Buluk, Goro, Delo Mena, Gura Damole, Meda Welabu), Girja woreda of Guji zone, Nenesebo woreda of West Arsi zone, 2 woredas of Liban zone (Guradamole and Karsadula). Out of 28 associated deaths confirmed in these 10 affected woredas, Guradamole woreda of Liban zone (13) and Berbere woreda of Bale zone (5) reported the highest number of deaths so far.

                    According to the report, the total cholera caseload increased by 30 per cent since the beginning of January 2023 with new daily cases reported and new patients admitted in Goro, Nenesebo and Girja woredas. The reported deaths mostly fall within the age range of 0 to 14 years (of which 25 per cent are children under five). Out of the total caseload, more than 77 per cent have not received any doses of Oral Cholera Vaccination (OCV)...

                    Comment


                    • #11
                      WEEKLY BULLETIN ON OUTBREAKS
                      AND OTHER EMERGENCIES

                      Week 5: 23 to 29 January 2023
                      Data as reported by: 17:00; 29 January 2023

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

                      Date notified to WCO 17-Sep-22
                      Start of reporting period 17-Sep-22
                      End of reporting period 26-Jan-23

                      Total cases 1 027
                      Cases Confirmed 32
                      Deaths 28

                      ...

                      A cholera outbreak has been ongoing in Ethiopia since 27 August 2022. The index case was reported from Bekay Kebele, Oromia Region and the outbreak was confirmed on 9 September. As of 26 January 2023, a total of 1 027 suspected cases of cholera with 28 deaths (CFR 2.7%) have been reported, including 828 cases and 13 deaths (CFR 1.6%) from Oromia region and 199 cases and 15 deaths (CFR 7.5%) from Somali region. A total of 32 of these cases were laboratory-confirmed through culture, and 138 cases were positive to cholera RDT. A total of 66 kebeles (villages) have so far been affected, distributed in ten woredas. About 191 suspected cases of cholera were also reported in IDP locations.
                      ...

                      "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


                      • #12
                        WHO Ethiopia rapidly scales up response to contain cholera outbreak in SNNP Region

                        27 July 2023

                        Upon arrival at the site, you will notice a sizable Cholera treatment center. The World Health Organization (WHO) has swiftly responded to the Cholera outbreak in the Konso Zone and Alle Special Woreda of the Southern Nations Nationalities and Peoples’ Region of Ethiopia by establishing Cholera Treatment Centers (CTCs) in four districts. These facilities act as referral centers where patients can receive urgent, high-quality medical attention to decrease the number of deaths resulting from cholera-related illnesses. WHO is implementing all recommended interventions to control the current cholera outbreak.

                        The Cholera outbreak in Ethiopia started in August 2022 in the Oromia region and later spread to other areas, including the SNNP region, since March 2023 and has been a growing concern.

                        As of now, the outbreak has reached 42 districts in SNNP and has resulted in over 4,000 cases. To address this, the government and other partners are working closely with the World Health Organization (WHO) to provide ongoing support to the affected areas.

                        Recognizing the urgency of the situation, WHO deployed technical experts to the affected areas and conducted capacity-building training on cholera outbreak management. This comprehensive approach ensures that medical professionals are equipped with the knowledge and skills necessary to effectively treat patients and put measures in place to prevent further transmission.

                        Establishing cholera treatment centres (CTCs) has brought much-needed relief to the affected communities. Now, individuals suffering from cholera have a haven where they can receive the quality medical attention they require, reducing the risk of complications and deaths fatalities. The CTCs are operating at full capacity, with an average of 10 or more people being treated daily since their construction a week ago.

                        A community representative from Kolme District in Konso Zone said, "I want to express our appreciation to WHO for helping us. The Cholera Treatment Center is very important to us because it offers shelter to our patients and health workers. We are grateful for WHO's assistance."

                        The outbreak has been triggered by poor sanitation, unpredictable water supplies and food insecurity. Despite efforts to respond to the situation, significant challenges and gaps remain. This includes limited support from partners in affected areas, resulting in inadequate support compared to the needs on the ground. Moreover, subpar case management methods and ineffectual risk communication strategies are being utilized.

                        To tackle these challenges, WHO coordinates with partners and mobilises additional resources, rental vehicles, and water treatment chemicals to support the response efforts.

                        According to WHO Ethiopia representative a.i., it is crucial for all parties involved to work together in order to contain the outbreak and save lives effectively.

                        WHO expresses gratitude for the invaluable support from USAID/BHA and the Central Emergency Response Fund/CERF, whose contributions have enabled the provision of timely aid in areas where it is most needed.

                        Upon arrival at the site, you will notice a sizable Cholera treatment center. The World Health Organization (WHO) has swiftly responded to the Cholera outbreak in the Konso Zone and Alle Special Woreda of the Southern Nations Nationalities and Peoples’ Region of Ethiopia by establishing Cholera Treatment Centers (CTCs) in four districts. These facilities act as referral centers where patients can receive urgent, high-quality medical attention to decrease the number of deaths resulting from cholera-related illnesses.
                        "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


                        • #13
                          Source: https://reliefweb.int/report/ethiopi...september-2023

                          Ethiopia - Cholera outbreak (DG ECHO, UN OCHA) (ECHO Daily Flash of 06 September 2023)
                          Format News and Press Release
                          Source ECHO
                          Posted 6 Sep 2023
                          Originally published 6 Sep 2023

                          The case fatality rate of cholera in the region of Benishangul Gumuz has reached 14.29%.
                          As of 31 August 2023, over 20,000 cholera cases have been reported in 204 districts across the country – up from 12,000 cases and 71 districts in early July, showing a sharp increase. A total of 271 casualties have been registered over the last 12 months.
                          The mortality rates remain of concern with a national average above 1% (1.34%.) The current outbreak is among the longest ever in Ethiopia, with the first case recorded in August 2022.​..

                          Comment


                          • #14
                            Source: https://www.aa.com.tr/en/africa/chol...a-week/2995783

                            Cholera outbreak in Ethiopia escalates as UN reports nearly 400 new cases in a week
                            Hospitals struggle to retain Cholera patients amid food shortages, says latest report by UN agency
                            Andrew Wasike 19.09.2023 - Update : 19.09.2023

                            The UN on Tuesday sounded the alarm as Ethiopia grapples with an escalating cholera outbreak that has claimed hundreds of lives.

                            In the latest report released on Tuesday, the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) said that nearly 400 new cases have been admitted to the Kumer Cholera Treatment Center in the past week, marking a staggering 50% increase compared to the previous week.

                            “The number of cases admitted to the Kumer Cholera Treatment Center (CTC) totals 393 people, a 50% increase in cases reported in the past week based on regional public health data,” OCHA said...

                            Comment


                            • #15
                              Source: https://www.independent.co.ug/death-...es-to-300-who/

                              Death toll from cholera outbreak in Ethiopia rises to 300: WHO
                              The Independent October 7, 2023 AFRICA

                              ​Addis Ababa, Ethiopia | An ongoing cholera outbreak in Ethiopia has claimed some 300 lives so far, the World Health Organization (WHO) said in its latest situation update.

                              According to the latest health cluster bulletin for Ethiopia released Friday, the ongoing cholera outbreak, since Aug. 27, 2022, has spread into 113 districts across 10 regions in Ethiopia.

                              The number of cholera deaths increased from 172 on July 12 to 300 as of Oct. 3 with a case fatality rate of 1.24 percent, according to the report.

                              The number of cholera cases also increased from 13,118 to 24,197 during the reported period.

                              The report indicated that the ongoing cholera response interventions have managed to control the outbreak in the country. It, however, expressed concern as some districts are seeing a re-emergence of cholera cases...

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