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Mali Cholera Factsheet


Cholera was first reported in Mali in 1970. Since 1990, there have been large outbreaks in 1995–1996, 2000, 2003–2005 and 2011 (Fig. 1). Between 2003 and 2013, epidemiological surveillance reported 8,094 cases with 521 fatalities (high case fatality rate ≈ 6.4%)1. Main outbreaks were reported in the region of Mopti, Tom­bouctou and Ségou along the Niger River and in the region of Kayes at the border with Senegal (Tab. I and Fig. 2). The country is affected by cross-border outbreaks, especially along its southern borders with Niger, Burkina Faso, and towards the west with Mauritania and Senegal.


Le choléra est apparu pour la première fois au Mali en 1970. Depuis 1990, des épidémies importantes ont été enregistrées notamment en 1995 –1996, 2000, 2003 – 2005 et 2011 (Fig. 1). Entre 2003 et 2013, la surveillance épidémiologique a notifié 8,094 cas avec 521 décès, soit un taux de létalité élevé de 6,4 %1. Des épidémies majeures ont été enregistrées le long du fleuve Niger dans les régions de Mopti, Tombouctou et Ségou et dans la région de Kayes à la frontière avec le Sénégal (Tab. I et Fig. 2). Le pays est touché par des épidémies transfrontalières, en particulier le long de ses frontières au sud avec le Niger, le Burkina Faso, et à l’ouest avec la Mauritanie et le Sénégal.

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High-risk cholera areas along the Niger River and at the border with Senegal and Maurita­nia are located on a corridor where outbreaks spread from and to neighbouring countries — Niger, Burkina Faso, Mauritania and Senegal — highlighting the importance of cross-border activities5 (Fig. 2, Tab. II).In cercles regularly affected, preparedness and response plans should be developed and implemented including: (I) strengthening early detection and rapid response systems of which community based surveillance and cross-border alert; (II) setting up coordination mechanisms across the sectors and borders; (III) building capacity on outbreak management; (IV) targeted pre-positioning of supplies and (V) preparing communications messages and plans (Tab. II).Sustainable Water, Sanitation and Hygiene activities (WASH) should be a priority in cercles regularly affected and with a high incidence (Tab. II, Priority 1). There is a need for multi-disci­plinary studies to identify long-term programma­tic responses in Priority 1 and Priority 2 Hotspots (Tab. II). Yet, information regarding onset area and outbreak duration should be looked at prior conducting a study. Only cercles with a long to medium outbreak duration (>40th quantile) should be eligible for WASH intervention.

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