Mayotte - Cholera outbreak 2024

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A first case of cholera which worries

Date: March 19, 2024

The first case of cholera, a woman who arrived via Kwassa from Anjouan, resided briefly in Passamainty. As soon as she had the first symptoms, she immediately called 15. The Samu immediately dispatched a team to extract her from the site safely. She was then taken care of by the CHM. As soon as the cholera case was confirmed, ARS teams went to the field to identify the family circle and the contact subjects in order to put these people on antibiotics. Two people close to the family were vaccinated. Teams also intervened to disinfect the area according to international recommendations.

The ARS reminds that any person coming from the Comoros and who has either vomiting or diarrhea must isolate themselves and call 15. People who present these symptoms must also follow the same procedure. Reinforcement teams are already on the ground to reinforce the SAMU.

https://www.linfokwezi.fr/un-premier-cas-de-cholera-qui-inquiete/

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A woman from Anjouan, the first confirmed case of cholera in Mayotte

The prefect confirmed this Tuesday that a first case of cholera was detected in Mayotte, it concerns a woman who arrived from Anjouan by kwassa this Sunday in the north of the island.

Raphaël Cann, Papinot Zaïdani • Published on March 19, 2024 at 11:30 a.m.

The prefect confirmed this Tuesday, March 19 that a first case of cholera was detected in Mayotte . This is a woman from Anjouan, who arrived by kwassa this Sunday in the north of the island. She lived in Passamainty before calling Samu this Monday following vomiting. She was hospitalized at the CHM and isolated.

The cholera epidemic has been raging since the beginning of the year in the Comoros and particularly since this weekend in Anjouan where 80 patients are hospitalized , twelve days after the detection of the first case of cholera on the island . The Regional Health Agency had already presented its response plan a month ago in the event of the introduction of the disease into Mayotte , announcing a strengthening of health controls at borders and the establishment of investigation and monitoring teams. disinfection in the event of detection of cases of cholera, to avoid contamination of contact cases.

https://la1ere.francetvinfo.fr/mayotte/une-femme-venant-d-anjouan-le-premier-cas-de-cholera-confirme-a-mayotte-1473438.html

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The Prefect announces the detection of a first case of cholera in Mayotte

Tuesday morning, the Prefect of Mayotte, the Director General of the ARS of Mayotte and the Director of the CHM, held an emergency press conference to announce the confirmation of a first case of cholera in the territory of Mayotte.

Mathilde Hangard
March 19, 2024

Tuesday morning, what the prefectural and health authorities feared unfortunately happened. Following a cholera epidemic in the Union of the Comoros, a first case of cholera was detected in Mayotte.

The person concerned came from Anjouan and went to Mayotte, in Kwassa, passing through the north of the island.

According to the first elements of the investigation, this woman quickly developed symptoms suggestive of cholera (diarrhea and vomiting) and isolated herself at her home in Passamainty before calling center 15.

Thanks to these effective and reactive reflexes, by isolating themselves as soon as symptoms appeared and by contacting center 15, this person was able to be taken care of quickly by the emergency services, isolated in a dedicated room at the Mayotte Hospital Center and processed.

According to the CHM, the person is already showing the first signs of progressive recovery.

Our editorial team will publish more in-depth information on this alert later.

https://lejournaldemayotte.yt/2024/03/19/le-prefet-annonce-la-detection-dun-premier-cas-de-cholera-a-mayotte/

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MAYOTTE: A FIRST CASE OF CHOLERA IMPORTED FROM THE COMOROS DETECTED

VG with AFP
THE03/19/2024 at 6:02 p.m.

The infected person, who arrived in the north of the island on Sunday, was treated in the “cholera” unit of the Mayotte hospital center (CHM) on Monday evening, the prefect said.

A first case of cholera from the Comoros, where the epidemic has been raging since the start of the year, was detected in Mayotte, the prefecture of this overseas territory confirmed on Tuesday.

Arriving on Sunday from Anjouan in the north of the island, the infected person was treated in the "cholera" unit of the Mayotte hospital center (CHM) on Monday evening, according to the same source.

“She has been treated and she is better,” assured prefect François-Xavier Bieuville during a press conference.
Cholera is an acute form of diarrhea that can kill within hours and is spread by bacteria usually transmitted through contaminated water or food.

A response plan presented by the ARS

While cases have been increasing in the neighboring archipelago of the Comoros for several weeks, the Regional Health Agency (ARS) presented in February a response plan in the event of the introduction of the disease into Mayotte.

Health controls at borders and field interventions have been strengthened, and a secure hospital care circuit has been put in place to avoid contamination. The ARS also deployed medical and paramedical investigation resources.

Monday evening, a team went to the patient's place of residence to identify contact cases and provide them with the first treatments, the ARS said in a press release. A team returned to the site on Tuesday to disinfect the home and disseminate health recommendations to the neighborhood.

The prefecture and the ARS call on the population to observe hygiene measures to avoid any contamination or transmission of the disease, such as drinking controlled water and washing their hands.

Water cuts still in effect

“To avoid or contain a cholera epidemic, the population must be able to have access to drinking water for drinking, washing, cooking, etc. However, this is not the case in Mayotte since 18% of the population does not have access to drinking water at home", recalled in a press release Manon Gallego, France director of the NGO Solidarités International.

Mayotte experienced its most serious drought since 1997 in 2023 and was faced with an unprecedented water shortage from August . To deal with this, the State organized distributions of drinking water and intensified running water cuts, to the point of only providing access one day out of three.

Heavy rainfall in December and January allowed these restrictions to be gradually lifted, even if the Mahorais still have to suffer from water cuts every other day.

https://www.bfmtv.com/sante/mayotte-un-premier-cas-de-cholera-importe-des-comores-detecte_AD-202403190715.html

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Mayotte: four new cases of cholera detected and imported from the Comoros

The four patients were arrested at sea when they came from the neighboring Comoros, where the cholera epidemic has been raging for several weeks.

By Le Parisien with AFP
April 11 , 2024 at 4:23 p.m.

Four new cases of cholera have been identified in Mayotte in people coming from neighboring Comoros, the prefecture of this overseas department in the Indian Ocean announced Thursday.

The four patients, “arrested at sea by the services fighting illegal immigration, were taken care of within the cholera unit of the Mayotte Hospital Center,” the prefecture said in a press release.

Antibiotic treatment was given to all people who were in contact with the patients. According to the prefecture of Mayotte, “with regard to the conditions of arrest and the modalities of treatment, the risk of propagation is limited”. “The people arrested are from the Democratic Republic of Congo and certainly passed through the Comoros,” said Hervé Derache, territorial director of the national police in Mayotte.

A previous case in March

State services had until then confirmed the presence of a single case on March 18, already from the Comoros. While cases of cholera are increasing in the Comoros archipelago, the Regional Health Agency (ARS) presented in February a response plan in the event of the disease being introduced to Mayotte.

Health controls at borders and field interventions have been strengthened and a secure hospital care circuit has been set up.

In the Comoros, where the epidemic has been raging for several weeks, the total toll on Tuesday stood at 995 cases of cholera and 26 deaths, according to a press release from local health services.

https://www.leparisien.fr/societe/sante/mayotte-quatre-nouveaux-cas-de-cholera-detectes-et-importes-des-comores-11-04-2024-K3GPG4O5JBA4HK5SMVKFVU4POA.php

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Four new cases of cholera confirmed in Mayotte

Updated
04/11/2024

This Wednesday, April 10, four new cases of cholera were identified in Mayotte. These people, arrested at sea by the services fighting illegal immigration, were taken care of within the cholera unit of the Mayotte Hospital Center. Antibiotic treatment was given to all people who were in contact with them.

Considering the conditions for arresting people and the treatment arrangements, the risk of spread is limited in this situation.

The prefecture and the ARS of Mayotte nevertheless recall the need to observe basic hygiene measures (consumption of controlled water, hand washing), which should make it possible to avoid any acquisition or transmission of the disease. If you experience symptoms, immediately call Center 15, who will be able to direct you.

https://www.mayotte.gouv.fr/Actualites/Communiques-de-presse/Communique-de-presse-2024/Quatre-nouveaux-cas-de-cholera-confirmes-a-Mayotte

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Koungou
/https://en.wikipedia.org/wiki/Koungou

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A new case of cholera identified in Koungou

Updated
04/12/2024

A new case of cholera was confirmed in Mayotte on Thursday April 11, in the commune of Koungou. The person, returning from the Union of the Comoros, presented characteristic symptoms of the disease and presented spontaneously to the emergency room of the Mayotte Hospital Center. She is currently being treated at the CHM and her condition is stable.

As soon as the alert was received, teams from the regional health agency intervened at the person's place of residence, in order to disinfect the home and identify contact cases to provide them with treatment. New interventions are underway, in order to complete the investigations and vaccinate people residing in the surrounding area. Mobilization in the sector will continue for several days, in order to widely share health recommendations (consumption of controlled water, regular hand washing) and avoid any further transmission of the disease.

The prefecture and the ARS of Mayotte remind that any person returning from an area of active cholera circulation (Union of the Comoros, Tanzania, Kenya, etc.) and presenting symptoms such as diarrhea or vomiting, or any person who has not traveled and presenting characteristic symptoms (profuse or unexplained diarrhea), is invited to self-isolate and immediately contact Center 15.

https://www.mayotte.gouv.fr/Actualites/Communiques-de-presse/Communique-de-presse-2024/Un-nouveau-cas-de-cholera-identifie-a-Koungou

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Publication of the first information bulletin relating to cholera in Mayotte


Updated 04/15/2024



The prefecture and the regional health agency of Mayotte are publishing today a first information bulletin, listing in particular the number of confirmed cholera cases in the territory. This newsletter will be published on a regular basis, at least weekly, in order to maintain complete transparency in monitoring developments in the situation.

This information bulletin makes it possible in particular to follow:

- The evolution of the number of confirmed cholera cases in Mayotte: these cases are confirmed on the basis of a rapid diagnostic orientation test (TROD) or a PCR carried out at within the CHM laboratory. Since March 18 and the identification of the first case, 10 cases have been confirmed in Mayotte – the latest being notably new cases identified at the administrative detention center and taken care of accordingly.
- The evolution of the number of antibiotic treatments prescribed: these treatments are prescribed to “contact” people of confirmed cases, identified by the investigation teams of the ARS and Public Health France. These treatments make it possible in particular to eliminate bacteria which could have been transmitted by the positive case to people with whom he may have been in contact during the previous days. The number indicated reflects the prescriptions carried out by the ARS teams, and does not take into account any other prescriptions carried out by CHM professionals.
- The evolution of the number of vaccinations carried out: beyond the vaccination of front-line professionals directly exposed to the management of suspected or positive cases (nursing staff, staff in the fight against illegal immigration, associative partners) , vaccination against cholera is offered to “contact” people as well as to the wider vicinity of the confirmed case, in order to avoid any risk of autochthonous acquisition of the disease. The number indicated reflects the injections carried out by the ARS teams, and does not take into account any other injections carried out by CHM professionals.

This information bulletin also reminds what action to take in the event of symptoms, as well as the barrier measures which should make it possible to avoid any transmission of the disease. It will be published regularly, so that the population can be kept informed over time of developments in the situation in Mayotte.


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https://www.mayotte.gouv.fr/Actions-de-l-Etat/Sante/Cholera/Publication-du-premier-bulletin-d-information-relatif-au-cholera-a-Mayotte

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Cholera: in Mayotte, first three “indigenous” cases confirmed
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Le Monde with AFP
Published today at 11:16 a.m., modified at 1:38 p.m.

Three first cases of “indigenous” cholera were identified in Mayotte, where ten imported cases had been recorded since mid-March among migrants coming in particular from the neighboring Comoros, announced the regional health agency (ARS), Friday 26 april. The three people involved are a woman, a man and an infant, who are not biologically related.

These are the first cases resulting from internal contamination in the Indian Ocean department. They were “identified in the commune of Koungou” , north of Mamoudzou, declared the director general of the ARS, Olivier Brahic, during a press conference. “The most likely” is that these patients were contaminated by “a sick person [who] did not present themselves to the SAMU” , he specified.

“We must closely monitor this situation, we are in the process of putting in place measures to identify contacts, put them on antibiotics and we are organizing the vaccination of the inhabitants of this area ,” added Mr. Brahic. At the same time, a screening center will be opened on site and twenty doctors and nurses will arrive as reinforcements in Mayotte on Saturday.
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Before these three indigenous cases, ten had been confirmed in Mayotte in recent weeks. The first case was recorded on March 18: it was a woman from neighboring Comoros. On April 10, the ARS confirmed four new cases, irregular migrants arrested at sea. According to the police, these people are from the Democratic Republic of Congo (DRC) and “probably passed through the Comoros” .

Many migrants from the DRC pass through the Comoros archipelago, where an epidemic has been raging since the start of the year. According to the Union of Comoros Ministry of Health, 68 new cases and three additional deaths were recorded on April 24 alone. In total, “2,584 cases” and “61 deaths” had been recorded there on this date since the outbreak of the epidemic at the start of the year, according to the ministry.

The epidemic also affects several African countries. According to the World Health Organization (WHO), 26,000 cases of cholera and 7,000 deaths have been reported in ten countries on the continent. Tanzania and the DRC, where the majority of asylum seekers arriving in Mayotte come from, are among them.

“Proven and responsive system”, according to the prefect of Mayotte

To prevent the spread of the disease in Mayotte, the ARS put in place a response plan in February in the event of the disease being introduced into the French overseas department. Border health controls and field interventions have been strengthened; a secure hospital care circuit has been set up.

“The objective is to stifle any outbreak of an epidemic by going on site to disinfect the home and identify contact cases to whom we give antibiotic treatment ,” explains Olivier Brahic. Then, the teams vaccinate “in rings” , gradually expanding the area concerned around the home of the patient affected by cholera. In total, 1,000 people were vaccinated in the territory, where 4,000 doses are stored. Starting next week, 2,600 doses should be added to the reserves.

“Our system is now well established and responsive. The disease, for the moment at least, is not spreading as it is spreading in neighboring territories ,” highlighted François-Xavier Bieuville, the prefect of Mayotte. “To avoid contamination, hygiene is essential. You must wash your hands and drink clean water ,” Mr. Brahic recalled. According to the National Institute of Statistics and Economic Studies (Insee), a third of the island's inhabitants do not have access to running water and supply failures deprive others of running water one day out of three.

Within the Mayotte hospital center, a cholera unit, with eight beds, has been set up. Its capacity will be increased to fourteen beds, and forty additional beds can then be requisitioned in the dispensaries of Dzoumogné, in the north of the island, and Mramadoudou (south). If this is not enough, said Mr. Brahic, tents could be set up near the care centers to accommodate sixty additional beds.

Le Monde with AFP

https://www.lemonde.fr/sante/article/2024/04/26/cholera-a-mayotte-trois-premiers-cas-autochtones-confirmes_6230088_1651302.html

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Identification of new cases of cholera

Updated
04/28/2024



The CHM increases its support capacities; the ARS strengthens its field interventions

New cases of cholera have been identified in recent days; a total of 26 cases have therefore been confirmed since the start of the alert.

In view of the situation, and in order to ensure the care of all sick people, the Regional Health Agency and the Mayotte Hospital Center have taken the decision to open a second “cholera unit” today. », within the Dzoumogné reference medical center.

Pending the arrival of future reinforcements, the Mayotte Hospital Center is concentrating its staff on treatment related to cholera. Thus, all dispensaries, except those in Jacaranda and Mtsapere, will be closed. Care availability is maintained in the various reference medical centers.

Finally, and with the aim of containing and reducing the risk in this sector, the Regional Health Agency has significantly strengthened its field interventions in Koungou:

- A screening and orientation center was set up yesterday;

- Vaccination operations have been organized on the ground for several days;

- Health raids continue in the sector, in order to ensure wide dissemination of health recommendations and to direct people towards vaccination and screening systems.

The prefecture and the ARS of Mayotte will keep the population informed of developments in the situation.

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https://www.mayotte.gouv.fr/Actions-de-l-Etat/Sante/Cholera/Identification-de-nouveaux-cas-de-cholera

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Mayotte: the number of cholera cases has doubled in two days

By Le Figaro with AFP
Published 8 hours ago, update6 hours ago

Twenty-six cases have been recorded since the start of the cholera alert. The first three “native” cases were identified in Koungou, north of Mamoudzou.

The number of cholera cases in Mayotte now stands at 26, the prefecture and the regional health agency announced on Sunday. “26 cases have been confirmed since the start of the cholera alert ,” they indicate in a press release. A previous report on Friday reported 13 cases.

“In view of the situation, and in order to ensure the care of all sick people, the Regional Health Agency and the Mayotte Hospital Center have taken the decision to open a second “unit” from today cholera”” , within the Dzoumogné reference medical center. The first unit, capable of accommodating a maximum of 14 people within the Mayotte Hospital Center, can no longer accommodate new patients.

Pending the arrival of future reinforcements, the Mayotte Hospital Center is concentrating its staff on treatment related to cholera. The region actually lacks caregivers. According to Olivier Brahic, director general of the ARS, “the situation at the Mayotte hospital center, in terms of human resources, remains very critical, particularly in the emergency room” .

Vaccination operations on the ground

On Friday, the first three cases of “native” cholera were identified in Koungou, north of Mamoudzou. Until then, ten imported cases had been recorded since mid-March among people arriving in particular from neighboring Comoros.

In order to contain and reduce the risk in the commune of Koungou, the Regional Health Agency has strengthened its field interventions and created a screening and guidance center. “Vaccination operations are also organized on the ground ,” specifies the ARS, which is continuing, at the same time, its health raids, in order to ensure wide dissemination of recommendations and to direct people towards vaccination and screening systems. .

“The epidemic is spreading without real control in the neighborhoods of the urban area of Mamoudzou-Koungou which is densely populated, particularly in the slums devoid of the most basic public sanitation ,” the LR deputy for Mayotte is alarmed in a press release. , Mansour Kamardine, recalling that “the entire territory of Mayotte is still subject to restrictions on access to running water” . The MP requests in particular “a general vaccination plan (voluntary vaccination) accessible to all, particularly children and vulnerable people” .

https://www.lefigaro.fr/actualite-france/mayotte-le-nombre-de-cas-de-cholera-a-double-en-deux-jours-20240428

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Agence Régionale de Santé Mayotte

8 hours·

[CHOLERA NEWSLETTER]
Find below the cholera newsletter.
For more info:
https://bit.ly/3JsKTeE

https://www.facebook.com/ARS.Mayotte/posts/pfbid02SiiniUKL5hpeJRpiwMCYPN3nGNQtKuj4vCXatuC8E4CgXvuD3cTfnR9AiS1UDMP7l?locale=id_ID

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Source: https://ca.news.yahoo.com/people-sca...130611087.html

‘People are scared’: Scramble to stop spread of cholera as rising cases grip France’s Mayotte
Lauren Chadwick
Wed, May 1, 2024 at 9:06 a.m. EDT·4 min read

Cholera cases rose significantly in the last week in the French overseas territory of Mayotte, doubling over the weekend and increasing since after health authorities issued an alert.

The regional authorities told Euronews Health that there are now 37 confirmed cholera cases as of May 1, up from 26 on Sunday...

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The worrying cholera epidemic in Mayotte. Health services are getting organized

Since the detection of the first case of cholera in Mayotte on March 18, carried by a person arriving by kwassa from Anjouan, the number of cases has multiplied. 35 yesterday, according to the Minister of Health. The sanitary fight is strengthening. The number of beds that can accommodate patients has been increased, other “special cholera” cells have opened their doors. At the same time, psychosis is taking hold in certain villages.

Outre-mer la 1ère • Published on May 2, 2024 at 1:56 p.m., updated May 2, 2024 at 2:41 p.m.

Behind the doors, the cholera unit of Mamoudzou hospital. Only dedicated healthcare staff are allowed entry. This reservist doctor in France came as reinforcement for three weeks in Mayotte. Since the launch of the anti-cholera plan, caregivers have been organizing themselves to ensure the care of patients presenting worrying symptoms.

"The patient is indeed choleric, he is unfortunately very dehydrated and on the verge of going to intensive care."
Dr Gilles Rousseau, reservist doctor from France

"We treat patients who have severe symptoms, this is the case for ten patients. We have six other patients with moderate dehydration."
Dr Gravaillac, head of the Samu emergency department

Over time, fear sets in in some villages. In the call control unit, the phone keeps ringing. Many residents of Koungou on the phone.

"We have increased calls for symptoms of diarrhea and vomiting. The regulating doctor manages to sort out whether it is cholera or not."
Salama Ali Soilihi, medical regulation assistant at Samu

After the Minister Delegate for Overseas this week, the Minister responsible for health, Frédéric Valletoux also plans to go there, he invites the population not to give in to psychosis.

"What we need to do is always monitor the development of cholera and not worry. There will be no explosion of the epidemic. But we inevitably know that the number of cases we know today will continue to increase by a few cases in the coming days."
Frédéric Valletoux, Minister Delegate for Health and Prevention

At this stage, 35 cases of cholera have been recorded in Mayotte.

A report by Kessi Weishaupt Tahi with the Mayotte La 1ère teams .

https://la1ere.francetvinfo.fr/l-inquietante-epidemie-de-cholera-a-mayotte-1485080.html

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37 cases of cholera detected in Mayotte: five questions about this disease

Health Minister Frédéric Valletoux announced this Wednesday that he will travel to Mayotte on May 9 and 10, where 37 cases of cholera have been identified.

West France
Published on05/02/2024 at 4:35 p.m.

The number of cholera cases in Mayotte now stands at 37, according to a new report from the Regional Health Agency communicated to AFP .

According to the Minister of Health Frédéric Valletoux, the situation is nevertheless under control . The latter will go there “to provide support to the teams on site and meet the local health authorities” , AFP learned from those around him. Eighteen new reserve doctors and nurses will also arrive as reinforcements on the island to deal with the increase in cholera cases. These will be added to the 49 reservists already mobilized on site.

The Minister for Overseas Affairs Marie Guévenoux must, for her part, go to Mayotte this Thursday, May 2 and Friday, May 3. To try to identify the problem,

...

https://www.ouest-france.fr/sante/maladies/37-cas-de-cholera-desormais-detectes-a-mayotte-cinq-questions-sur-cette-maladie-018bf302-085c-11ef-82e4-0c4a28978b68

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Indigenous cholera cases are on the rise

Date: May 05, 2024 in: News , Health

The latest Public Health France report dated May 2, 2024 reports 39 cases reported on the island, of which 36 were confirmed by PCR and 3 probable cases were detected by Rapid Diagnostic Test (RDT). Although these figures are concerning, no deaths have been recorded so far. Note that 4 cases required intensive care in the cholera unit. Of the 36 cases confirmed by PCR, 27 are indigenous cases, while 9 were imported from Comoros or other African countries. Koungou concentrates the majority of indigenous cases.

The cholera epidemic continues to rage in the Comoros, with an intensification of the circulation of the virus in recent weeks in Anjouan. The latest situation update published by the Comoros reports 706 new cases and 15 new deaths recorded over the period from April 29 to May 1, 2024, bringing a total to 3,950 reported cases and 82 deaths since the start of the epidemic in the Comoros.

Hand washing and drinking drinking water help fight the spread of cholera.

https://www.linfokwezi.fr/les-cas-de-cholera-autochtones-sont-a-la-hausse/

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Health – 58 cases of cholera identified by the ARS

Anne Perzo
May 6, 2024

From 39 cases of cholera this Friday, we increased to 58 recorded this Monday. Slightly more men than women are affected, and 70% are under 25 years old.

We now know that a majority of cases are indigenous, spread by the first patients arriving in the territory from outside. More than 4,000 people have been vaccinated since the establishment of the centers by ARS Mayotte.

https://lejournaldemayotte.yt/2024/05/06/sante-58-cas-de-cholera-identifies-par-lars/

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https://www.mayotte.ars.sante.fr/bul...a?parent=16032

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Cholera: a first death in the territory

Updated
08/05/2024



A 3-year-old child died today, Thursday, May 8, 2024.

The child lived in the Koungou district where several cases of cholera had been identified in recent weeks, and which had focused intervention efforts, particularly vaccination.

The intervention teams went to the scene to treat those close to the child.

The authorities of Mayotte, fully mobilized in the fight against cholera in the territory, send their sincere condolences to the family.

...

https://www.mayotte.gouv.fr/Actualites/Communiques-de-presse/Communique-de-presse-2024/Cholera-un-premier-deces-sur-le-territoire

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Cholera in Mayotte: we explain the status of the epidemic which caused the first death

Since the appearance of a first case in mid-March, 58 others have been identified in the archipelago and the prefecture announced on Wednesday the death of a 3-year-old child. The Minister of Health is visiting the island on Thursday and Friday to take stock of the situation.

Article written byfranceinfo with AFP
France Televisions
Publishedon 05/09/2024 11:00
Updateon 05/09/2024 11:31
Reading time: 5 min

The cholera epidemic claimed its first victim in Mayotte. A 3-year-old child died on Wednesday May 8 , announced the prefecture and the Regional Health Agency (ARS) in a press release . This fatal case occurred on the eve of the visit of Minister of Health Frédéric Valletoux. The first cases of this disease were recorded in mid-March on the island, among people returning from neighboring Comoros , where the epidemic is surging with 98 deaths, according to the latest official report. Here is what we know about the health situation in the 101st French department.

A 3-year-old child died on Wednesday
This is the first death recorded in the territory since the detection of a first case on March 19. The child lived in the Koungou district, where "several cases of cholera had been identified in recent weeks" , explains the press release from the local authorities, and where the ARS had deployed a screening center and mobile vaccination units. “The intervention teams went to the site to treat those close to the child ,” they specify.

At the microphone of France Inter, Liot MP for the first constituency of Mayotte, Estelle Youssouffa, declared on Wednesday that it is “tragic to say that a child died of cholera in a slum in a French department in 2024. This What’s even more serious is that we saw it coming ,” she laments. “We are always faced with authorities who are late, who minimize ,” regrets the elected official. She recalled the situation on site: “We still have water cuts” and “only one hospital with five emergency doctors” . An observation which puts “the entire population in danger” , according to her.
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At least 58 cases have been recorded on the island since mid-April
At this stage, 58 cases have been identified on the island, according to an ARS information bulletin established Monday, before the announcement of the child's death. There were only 10 listed on April 15, after a first case detected on March 19. This outbreak comes as a major epidemic is underway in the neighboring archipelago of the Comoros, where there have been 98 deaths and more than 4,900 cases since the start of the year.

If initially, the Mahorais cases were those of people returning from the Comoros, now, the health authorities are now reporting "native" cases, that is to say diagnosed in patients who have not left Mayotte. The health situation on the island is worrying: the Minister of Health Frédéric Valletoux is going there on Thursday and Friday , a visit planned for several days.

In France, cholera has become a rare disease, mainly reported by travelers returning from infected countries or areas. There have been an average of zero to two cases per year since the early 2000s, according to the Ministry of Health. But, as a result of climate change and the increase in conflicts, the number of reported cases – only a portion of proven cases – is currently exploding around the world, underlines the WHO. They more than doubled between 2021 and 2022 to reach 473,000, then climbed further to more than 700,000 in 2023.

Health problems in Mayotte are highlighted by the epidemic
A protocol, developed in February by the ARS to prevent the spread of the disease, provides for the disinfection of the patient's home, the identification and treatment of contact cases and "ring" vaccination, i.e. by gradually expanding the area concerned around the home of the patient suffering from cholera. More than 4,000 “contact” people have been vaccinated to date, according to the ARS. But elected officials are pleading for the vaccination campaign to be more massive. Problem: vaccine stocks are limited all over the world, leading health authorities to reduce the number of doses administered. In February, the ARS of Mayotte only had 1,800 doses.

MP Estelle Youssouffa spoke on Wednesday on the social network X of an “emergency”. “I ask Gabriel Attal for massive vaccination and tablets to disinfect water as well as hydroalcoholic gel, distribution of bottled water” . The parliamentarian also calls for the “closure of the border at sea to prevent the entry of illegal patients from the Comoros” . Mansour Kamardine, LR deputy for Mayotte, also called at the end of April for "a general vaccination plan (voluntary vaccination) accessible to all, particularly children and vulnerable people" .

Although two cholera case management units have been set up in medical centers in Mamoudzou and Dzoumogné, the usual staffing levels are not sufficient to cope with the influx of patients . To compensate for this shortage of caregivers, around twenty people, from the health reserve, arrived from France on May 2, as reinforcements, franceinfo learned from the ARS. Finally, the inaction of the State in Mayotte regarding access to drinking water is denounced by some, such as the epidemiologist Antoine Flahault . On the island , a third of the inhabitants do not have access to drinking water .

https://www.francetvinfo.fr/france/mayotte/cholera-a-mayotte-on-vous-explique-ou-en-est-l-epidemie-qui-a-fait-un-premier-mort-sur-l-ile_6534035.html

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GUEST RTL - Cholera in Mayotte: “The situation is contained”, assures Minister Frédéric Valletoux

At the microphone of RTL, this Friday, May 10, the Minister responsible for Health returned to the situation in Mayotte which is currently facing a cholera epidemic. A 3-year-old child died in the archipelago.
...
Yves Calvi - edited by Baptiste Marin
published on 05/10/2024 at 08:05 - updated on 05/10/2024 at 09:58

At the microphone of RTL, this Friday, May 10, Frédéric Valletoux wanted to be reassuring regarding the situation in Mayotte , which is facing a cholera epidemic . “ The situation is circumscribed by its territorial scale, the monitoring that is carried out, the care of patients and their relatives, and the very low fatality rate ,” specified the Minister responsible for Health, who indicated that the The epidemic is currently contained “to a single outbreak ”.

According to him, 65 people were affected by this disease in Mayotte. A first fatal case was recorded. A 3-year-old child died this Wednesday in the commune of Koungou. And the island only has one hospital. On this level, “ the situation is very tense ”, affirms Frédéric Valletoux.

The minister explains that 20 beds have been opened to accommodate patients affected by serious forms. “ We will not abandon Mayotte ,” he insisted. 86 reservists, "from France", are today "on the ground" . On the vaccination situation, Frédéric Valletoux was very clear. “ We have stocks . Today, there are around 7,000 vaccines on the island, 6,000 more will arrive next week.”

https://www.rtl.fr/actu/debats-societe/invite-rtl-cholera-a-mayotte-l-epidemie-est-sous-controle-assure-le-ministre-frederic-valletoux-7900382894

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Mayotte: 65 cases of cholera recorded, but an epidemic “under control”

65 people, including a three-year-old girl who died on Wednesday, have been affected by cholera - to date - in Mayotte. The information was relayed on Friday by the Minister responsible for
Health Frédéric Valletoux, who was traveling on the island. However, he assures that the epidemic is “under control”, 3,700 people having so far been vaccinated.

Published on :10/05/2024 - 09:43
Modified :10/05/2024 - 11:01

By :
FRANCE 24

The cholera epidemic in Mayotte has so far affected 65 people, including a three-year-old girl who died on Wednesday, the Minister of Health Frédéric Valletoux announced on Friday, traveling to the island, where 3,700 people are affected. I have just been vaccinated, according to him.

There is "for the moment only one outbreak", the Kirson district in Koungou, he declared on RTL, while noting a "slow rise in the level of people affected".

The epidemic "is under control" and "circumscribed", thanks to "intervention by health services on vaccination, care, support for those affected", specified Frédéric Valletoux.

The epidemic started "on March 18" in the 101st French department located in the Indian Ocean, recalled the minister, with the first cases "arriving from the neighboring Comoros ", where the epidemic is flaring and has already caused 98 deaths, according to the latest official report.

“The vaccination strategy for cholera is not to vaccinate all-out and blindly”, but “in stages”, with vaccination of those close to those affected and people who have been in contact with them in the last 48 hours, explained the minister.

The “difficulties” of the health system on the island
In Mayotte , more than 3,700 people have been vaccinated so far in the Kirson district alone, he said. “We have stocks. There are around 7,000 vaccines on the island today. 6,000 vaccines will arrive next week. We still have possible doses and in larger volumes for the start of the 'summer".

Furthermore, while cholera is transmitted in particular via water contaminated by the bacteria, "the State will continue to distribute water as much as necessary" and "water ramps have been installed in certain neighborhoods", specified Frédéric Valletoux.

Frédéric Valletoux recognized the difficulties facing the health system and caregivers on the island, which has only one hospital and five emergency doctors, for some 310,000 inhabitants according to official population figures, probably largely underestimated. .

“The teams here are suffering because they have been constantly subjected to extremely tense rhythms for a long time,” he noted.

"Work" to extend and modernize the hospital, for 242 million euros, "will start in a few weeks", he said, to which is added the commitment of the public authorities "to build a second hospital in another part of the island".

With AFP

https://www.france24.com/fr/info-en-continu/20240510-mayotte-65-cas-de-chol%C3%A9ra-recens%C3%A9s-3-700-personnes-vaccin%C3%A9es-dit-valletoux

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"There are three suspected cases, we are going to disinfect the housing"... In Mayotte, cholera overwhelms a slum

Under a tent with a red roof installed at the entrance to a slum in the north of Mayotte, medical teams reassure and guide families: it is in this neighborhood that almost all cases of cholera have been detected, including a mortal, in the archipelago.

Writing Published on 05/10/2024 at 8:08 p.m., updated on 05/10/2024 at 8:13 p.m.

Traveling to Mayotte on Thursday and Friday, the Minister of Health, Frédéric Valletoux, wanted to be reassuring. “The State is there and will be there as much as necessary,” he assured journalists. AFP

Under a tent with a red roof installed at the entrance to a slum in the north of Mayotte, medical teams reassure and guide families: it is in this neighborhood that almost all cases of cholera have been detected, including a mortal, in the archipelago.

Of the 63 cases reported in the poorest department in France since mid-March, 49 are autochthonous, that is to say resulting from internal contamination . Of these 49 cases, 48 originate from the Kirson informal neighborhood in Koungou , a commune in the north of Mayotte.

The ARS and the Red Cross are engaged in prevention

Wednesday evening, a 3-year-old girl died there from the disease . This is where the regional health agency (ARS) and the Red Cross have set up their stand, around which children play while the curious approach.

“We do prevention, we explain what cholera is and we distribute water purification tablets ,” Kelly Chevalier Nkouka tells AFP, white t-shirt flocked with a red cross on the chest. .

A few meters below, a murky river, littered with waste and fabrics, separates the homes of the neighborhood. Two agents, covered from head to toe in white overalls, gloves and a filter mask, rush into the middle of the sheet metal huts.

“There are three suspected cases, we are going to disinfect the accommodation ,” says Asmaou Mohamed, sprayer in hand. On their way, a handful of children playing in the river. Two little boys bathe naked in the middle of three large basins filled with dishes and linen.

In this slum, the approximately 5,000 inhabitants do not have running water

"We see the same scenes every 20 meters," confides Julie Durand, local health officer at the Regional Health Agency (ARS). "Here, the river water serves as well for the toilet and the laundry as for cooking. And many drink it."

In this shantytown, the approximately 5,000 inhabitants do not have running water, like a third of the approximately 320,000 people who populate the island, according to INSEE.

A fountain is located a few hundred meters away but only works two days out of three, due to lack of sufficient drinking water production and despite the end of the drought which affected Mayotte in 2023. The health teams who travel through the area have installed a water ramp since the appearance of cases of cholera and are trying to change practices.

The disease, which spreads very quickly, is mainly caught through contaminated water or food. But despite the advice, dangerous practices persist, which annoys Hamed, 16 years old.

“We avoid using water from the river because the situation is really serious. But people don’t care ,” says the young man, sitting on a log looking at the children who are there. bathe. Health teams also come to homes as soon as the first symptoms appear.

“The real issue is reporting. Calling 15 is essential as soon as there are symptoms”

“A nurse-doctor pair distributes antibiotics to relatives and vaccinates them. The residents are very receptive, they all want to be treated ,” underlines Olivia Noël, who arrived as reinforcement in Mayotte for the ARS. Sometimes too late, the authorities regret.

“The real subject is reporting. Calling 15 is essential as soon as there are symptoms ,” recalls the director general of the ARS, Olivier Brahic.

But in this neighborhood mainly inhabited by Comorian immigrants, this reflex is far from automatic. “The population does not always have a telephone and is often afraid of the authorities. People wait until the last moment,” said the MP (Liot) for Mayotte, Estelle Youssouffa.

On site, the disease worries. " We don't know how it can progress. Cholera spreads very quickly. And in children, it can be fatal within a few hours ," emphasizes Kelly Chevalier Nkouka, of the Red Cross.

Traveling to Mayotte on Thursday and Friday, the Minister of Health, Frédéric Valletoux, wanted to be reassuring. “The State is there and will be there as much as necessary ,” he assured journalists.

In neighboring Comoros, where the epidemic started a month and a half earlier, 105 people died, according to the official report from the Ministry of Health published Friday.

https://www.varmatin.com/faits-de-societe/il-y-a-trois-suspicions-de-cas-nous-allons-desinfecter-les-logements-a-mayotte-le-cholera-accable-un-bidonville-920387