Cholera in South Sudan - Situations

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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

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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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