South Sudan -High priority areas / Hotspots


2014: cholera incidence higher among IDPs compared with non-IDPs outside of Juba (Wau Shilluk)

Risk factors

1970s and 1980s: refugee displacement from Uganda and Ethiopia following political turmoil and famine

2005-2013: returnees from Kenyan, DRC and Ugandan refugee camps

Since the onset of the civil war in Dec. 2013:

Restricted access to safe drinking water and adequate sanitation facilities

Restricted access to Health services

Protracted crisis coupled with drought led to food shortages and famine in some areas

The Sudd, one of the world’s largest swamps stretch from Bor to Malakal

61% of the population practice open defecation and are less likely to wash hand with soap after defecation

Case control studies in Juba 2007-2014: using a water source close to the place of residence, eating outside of the home, and traveling or living in Juba for less than one year

Case investigations in 2006 – 2017:  cholera transmission during funeral rituals, around affected households and in a facility that receives cholera cases


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