Cholera and AWD outbreak bulletin in Eastern and Southern Africa, as of 27 November 2017, 8 Issue

Regional Update - as of 27 November 2017

Highlights

More than 107,517 cholera / AWD cases and 1662 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 73% of the total cases reported in 2017, followed by South Sudan at 16%. Currently, 8 out of the 21 countries in ESAR reported active transmission of cholera / AWD (Burundi, Kenya, Mozambique, Somalia, South Sudan, Tanzania, Uganda and Zambia), with Kenya reporting the highest number of new cases (60 cases). Of the 8 countries, Zambia and South Sudan recorded the highest CFR above 2% in 2017, followed closely by Kenya (1.9%) and Tanzania (1.7%). CFR for Somalia was above 2% at the beginning of 2017 but has since dropped to 1.4%.

Somalia: There has been a decrease in the epidemic trend. During week 45 (week ending 12 November 2017), 20 new cases were reported in the country; compared to 78 cases reported in week 44 (week ending 5 November 2017). Most affected regions areTogdheer, Awdal and Sool.

Kenya: 6 Counties (Nairobi, Garissa, Mombasa, Kilifi, Embu and Kirinyaga) have an active cholera outbreak. During week 46 (week ending 19 November 2017), 60 new cases including 3 deaths (CFR 5%) were reported compared to 121 cases including 3 deaths reported in week 45.

South Sudan: Cholera transmission has continued to decline, with most of the cases emerging from Juba and Budi counties. During week 44, 20 new cases were reported; compared to 40 cases including 3 deaths (CFR: 7.5%) reported in week 43 (week ending 29 October 2017).

Tanzania: During week 46, 43 new cases were reported; compared to 131 cases including 1 deaths (CFR 0.8%) in week 45. New cases emerged from Mbeya, Songwe and Kigoma regions.

Burundi: 10 new cases were reported in week 44. These cases emerged from Nyanza lac (Makamba), Mpanda (Bubanza), Isare, Cibitoke and BDS Mairie nord.

Zambia: An increase in the epidemic trend. During week 46, 48 new cases including 2 deaths (CFR 4.2%) were reported; compared to 22 cases reported in week 45. The cases emerged from Chipata, Kanyama, Chawama, Bauleni, Matero and Chelstone sub-districts in Lusaka.

Mozambique: During week 46, 39 new cases were reported compared to 84 cases reported in week 45. The cases emerged from the following districts in Nampula; Nacarroa, Memba and Erati.

Uganda: 7 new cases were reported during week 45; compared to 48 cases reported in week 44.