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Cholera and AWD outbreak bulletin in Eastern and Southern Africa, as of 10 November 2017, 7 Issue

Regional Update - as of 10 November 2017


More than 106,005 cholera / AWD cases and 1639 deaths (Case Fatality Rate: 1.5%) have been reported in 12 of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2017. These countries include; Angola, Burundi, Kenya, Malawi, Mozambique, Rwanda, Somalia, South Sudan, Tanzania, Uganda, Zambia and Zimbabwe. Of the countries reporting, Somalia accounts for 74% of the total cases reported in 2017, followed by South Sudan at 16%. Currently, 7 out of the 21 countries in ESAR reported active transmission of cholera / AWD (Burundi, Kenya, Mozambique, Somalia, South Sudan, Tanzania and Zambia), with Kenya and Tanzania reporting the highest number of new cases, (88 and 82 respectfully). Of the 7 countries, South Sudan recorded the highest CFR at 2.1% in 2017, followed closely by Kenya (1.9%) and Tanzania (1.8%). CFR for Somalia was above 2% at the beginning of 2017 but has since dropped to 1.4%.

Somalia: There has been a slight decrease in the epidemic trend. During week 43 (week ending 29 October 2017), 61 new cases were reported in the country; compared to 86 cases reported in week 42 (Week ending 22 October 2017). Most affected regions areTogdheer, Awdal and Banadir.

Kenya: 6 Counties (Nairobi, Garissa, Murang’a, Turkana, Embu and Kirinyaga) have an active cholera outbreak. During week 43, 88 new cases including 4 deaths (CFR 4.5%) were reported compared to 23 cases reported in week 42.

South Sudan: Cholera transmission has continued to decline countrywide in the last four weeks, with most of the cases emerging from Juba and Budi counties. During week 41(week ending 15 October 2017), 10 new cases were reported; compared to 27 cases reported in week 40.

Tanzania: During week 44 (week ending 5 November 2017), 82 new cases including 2 deaths (CFR 2.4%) have been reported; compared to 150 cases including 7 deaths (CFR 4.7%) in week 43. New cases emerged from Mbeya, Songwe, Dodoma and Morogoro regions.

Burundi: There has been an increase in the epidemic trend. During week 42, 40 new cases were reported, compared to 27 cases in week 41. These cases emerged from Nyanza lac (Makamba), Mpanda (Bubanza), Isare, Cibitoke and BDS Mairie nord.

Zambia: A new cholera outbreak was reported on 4 October 2017. A total of 131 cases and 1 death (CFR 0.8%) have been reported since then. The cases emerged from Chipata, Kanyama, Chawama, Bauleni and Matero sub-districts in Lusaka

Mozambique: A cholera outbreak started on August 2017 in Northern Mozambique. A total of 169 cases including 1 death (CFR: 0.6%) have been reported since then. In week 43, 23 cases were reported from Nampula. Other areas that have reported cholera in 2017 include; Tete and Maputo.