Jul 21, 2014 - Total cases currently admitted. Total facility deaths. Total community deaths. Total deaths. Total cases
Republic of South Sudan
Cholera in South Sudan Situation Report # 66 as at 23:59 Hours, 21 July 2014 Situation Update A total of 4,692 cholera cases including 106 deaths (CFR 2.3%) had been reported in South Sudan as of 21 July 2014, as summarized in Tables 1 and 2. Laboratory test results received today confirmed cholera cases in Kapoeta North. Table 1. Summary of cholera cases reported in Juba County, 23 April - 21 July 2014 New admisions today
New discharges today
New deaths today
Total cases currently admitted
Total facility deaths
Total community deaths
Total deaths
Total cases discharged
Total cases
JTH CTC
4
6
0
8
16
0
16
1384
1408
Gurei CTC (changed to ORP)
1
1
0
0
2
0
2
360
362
Tongping CTC
0
0
0
3
2
1
3
57
63
Jube 3/UN House CTC
1
2
0
8
0
0
0
53
61
Reporting Sites
Nyakuron West CTC
Closed 15 July
0
0
0
18
18
Gumbo CTC
Closed 5 July
0
0
0
48
48
Nyakuron ORP
Closed 5 July
0
0
0
20
20
Munuki ORP
Closed 5 July
0
0
0
8
8
Gumbo ORP
Closed 15 July
0
3
3
67
70
Other sites
0
0
0
0
1
14
15
1
16
Total
6
9
0
19
21
18
39
2016
2074
N.B. To prevent double counting of patients, transferred cases from ORPs to CTCs are not counted in the ORPs.
Table 2. Summary of cholera cases reported outside Juba County, 23 April – 21 July 2014 Reporting Sites
New admisions today
New discharges today
New deaths today
Total cases currently admitted
Total facility deaths
Total community deaths
Total deaths
Total cases discharged
Total cases
Kajo-Keji civil hospital
0
0
0
3
1
2
3
48
54
Yei Hospital
0
0
0
0
0
2
2
45
47
WES
Lanyi- Mundri East
0
0
0
0
0
0
0
3
3
Jonglei
Kolmanyang, Bor
0
0
0
0
0
0
0
1
1
Nimule Hospital
0
0
0
1
0
0
0
22
23
OTC PHCC, Magwi
0
0
0
2
8
0
8
125
135
Magwi PHCC*
0
0
0
0
0
0
0
1
1
Pajok PHCC, Magwi
0
0
0
1
0
0
0
0
1
Torit Hospital
0
0
0
41
7
9
16
851
908
Idali PHCU, Lafon
0
0
0
0
4
0
4
89
93
0
0
0
0
0
1
1
1
2
0
0
0
7
0
1
1
63
71
0
0
0
10
3
0
3
43
56
0
0
0
10
0
0
0
0
10
0
0
0
4
2
0
2
2
8
2
0
0
23
0
0
0
91
114
0
0
0
0
0
0
0
4
4
0
0
0
17
0
0
0
26
43
2
0
0
54
7
0
7
24
85
0
0
0
0
0
0
0
4
4
0
0
0
0
0
0
0
5
5
4
4
0
29
1
0
1
19
49
States
CES
EES
Lwala PHCU, Pachidi payam, Lafon Bur Mutram PHCU, Bur Payam, Torit Ohiri PHCC, Bur Payam, Torit Ohila PHCC, Bur Payam, Torit Imurok PHCU, Imurok Payam, Torit Hiyala PHCC, Torit Olere PHCU, Imurok Payam, Torit Osito PHCU, Bur payam, Torit Ileu PHCU, Hiyala payam, Torit Hileu PHCC, Himodonge Payam, Torit Ofiri PHCU, Kudo Payam, Torit Kudo PHCC, Kudo Payam, Torit
1
09/06/2014 10/06/2014 11/06/2014 12/06/2014 13/06/2014 14/06/2014 15/06/2014 16/06/2014 17/06/2014 18/06/2014 19/06/2014 20/06/2014 21/06/2014 22/06/2014 23/06/2014 24/06/2014 25/06/2014 26/06/2014 27/06/2014 28/06/2014 29/06/2014 30/06/2014 1/7/2014 2/7/2014 3/7/2014 4/7/2014 5/7/2014 6/7/2014 7/7/2014 8/7/2014 9/7/2014 10/7/2014 11/7/2014 12/7/2014 13/7/2014 14/7/2014 15/7/2014 16/7/2014 17/7/2014 18/7/2014 19/7/2014 20/7/2014
Number of cases
21/04/2014 23/04/2014 25/04/2014 27/04/2014 29/04/2014 01/05/2014 03/05/2014 05/05/2014 07/05/2014 09/05/2014 11/05/2014 13/05/2014 15/05/2014 17/05/2014 19/05/2014 21/05/2014 23/05/2014 25/05/2014 27/05/2014 29/05/2014 31/05/2014 02/06/2014 04/06/2014 06/06/2014 08/06/2014 10/06/2014 12/06/2014 14/06/2014 16/06/2014 18/06/2014 20/06/2014 22/06/2014 24/06/2014 26/06/2014 28/06/2014 30/06/2014 2/7/2014 4/7/2014 6/7/2014 8/7/2014 10/7/2014 12/7/2014 14/7/2014 16/7/2014 18/7/2014 20/7/2014
Number of cases
States
Upper Nile
Total Reporting Sites New admisions today New discharges today New deaths today Total cases currently admitted Total facility deaths Total community deaths Total deaths Total cases discharged Total cases
Riwoto PHCC, Kapoeta North 1 0 0 3 1 0 1 48 52
Other sites 0 0 0 0 0 1 1 18 19
Kaka 0 0 0 0 0 0 0 0 1
Wau Shilluk, Malakal 0 0 0 134 16 1 17 678 829
9 4 0 339 50 17 7 2211 2618
Figure 1: Central Equatoria State Epidemic curve as at 21 July 2014 140
120
0 Alive
17 18
24 19
10
1 1 4 3 2 5 4 3 20
20
34
10 13
25
18 21
40
30 22
72
53 51 23 24 Date of onset
67 57 60 63
39
26 58
39 46
27 25
71 70 71 26
82 66 44
28
27
90 Alive
26
14
Died
100
80
60
40
20
0
28
23 19
29
29
13 9
30
Figure 2: Eastern Equatoria State Epidemic curve as at 21 July 2014
Dead
80
70
60
50
74 56 65
37 46
22
4
30
Date of onset
Figure 3: Upper Nile State Epidemic curve as at 20 July 2014
2
140 Died
120
Alive
80 60 40 20
26
27
28
20/7/2014
19/7/2014
18/7/2014
17/7/2014
16/7/2014
15/7/2014
14/7/2014
13/7/2014
12/7/2014
11/7/2014
10/7/2014
9/7/2014
8/7/2014
7/7/2014
6/7/2014
5/7/2014
4/7/2014
3/7/2014
2/7/2014
1/7/2014
30/06/2014
29/06/2014
28/06/2014
27/06/2014
26/06/2014
25/06/2014
24/06/2014
0 23/06/2014
Number of cases
100
29
Date of onset
Table 3: Areas that continue to report suspected cholera alerts as at 21 July 2014 Date of notification 22/07/2014
Details of the alert
Area
Action
Five probable cases reported by HPF at Isohe hospital, Ikotos county
Ikotos county
Case verification is under way, more information to be availed after the investigations.
20/07/2014
A suspected cholera case was reported to Pager PHCU, close to Lobonok PHCC.
Lobonok, Juba County, Central Equatoria State
05/07/2014
The number of cases in Malakal with two deaths. been admitted in three days.
Malakal PoC
05/07/2014
The number of AWD (suspect cholera cases) in Bol PHCU/CTC has risen to 20 cases with 6 deaths.
Case verification was conducted by Juba county surveillance team. Since the health facility lacked ringer’s lactate; the health facility in-charge secured them from nearby Lobonok PHCC as arrangements are made to secure fluids for the facility. The patient has recovered. Cholera cases are being managed in the MSF CTC in the PoC. Health Cluster meetings are ongoing to coordinate the response. Active surveillance and contact tracing remain a priority in PoC 2&4. Laboratory test results for the four samples sent to the National Reference Laboratory are pending. Two epidemiologists from the WHO are on the ground to support response efforts. The set up of MSF and ICRC CTC in Bol has been completed and another in Kodok. Health partners including MSF, CORDAID, & ICRC together with Fashoda county health department team are coordinating preparedness & response efforts through regular health cluster meetings. WHO supported the response with one DDK kit, cholera RDTs, and Cary Blair media.
suspected cholera PoC has risen to 54 No new cases have the CTC for the last
Bol, Lul Payam, Fashoda county, Upper Nile State
Many thanks to the staff at CTCs, MoH at national level and state levels, especially the Department of IDSR, who have helped to gather the information presented here. Situation Reports are posted on the WHO website: http://www.who.int/hac/crises/ssd/en/ as well as on the Humanitarian Info webpage: http://southsudan.humanitarianresponse.info/clusters/health. The MoH/WHO surveillance team welcomes feedback and data provided by individual agencies. Given the fast evolving nature of this epidemic, errors and omissions are inevitable: we will be grateful for any information that helps to rectify these. Send any comments and feedback to: E-mail:
[email protected], The Toll free numbers for the ambulance are: Gemtel: 9999, Vivacell: 0952000098 and the toll free for alerts is Zain: 0912000098. Contacts: For more information please contact, Dr. Pinyi Nyimol Mawien Director General - Preventive Health Services MoH, Republic of South Sudan Tel: +211955604020
Dr Othwonh Thabo Ag. Director - IDSR MoH, Republic of South Sudan Tel: +211 0954082015
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