Jul 18, 2014 - Table 1. Summary of cholera cases reported in Juba County, 23 April - 18 July 2014. Reporting Sites. New
Republic of South Sudan
Cholera in South Sudan Situation Report # 63 as at 23:59 Hours, 18 July 2014 Situation Update A total of 4,479 cholera cases including 102 deaths (CFR 2.3%) had been reported in South Sudan as of 18 July 2014, as summarized in Tables 1 and 2. Table 1. Summary of cholera cases reported in Juba County, 23 April - 18 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
5
1
0
9
16
0
16
1372
1395
Gurei CTC
1
3
0
2
2
0
2
357
361
Tongping CTC
0
0
0
3
2
1
3
56
60
Jube 3/UN House CTC
0
0
0
4
0
0
0
46
50
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
4
0
18
21
18
39
1993
2046
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 – 18 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
1
0
0
1
0
0
0
22
23
OTC PHCC, Magwi
4
0
0
5
8
0
8
121
134
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
60
7
9
16
832
908
Idali PHCU, Lafon
0
0
0
4
4
0
4
84
92
0
0
0
7
0
1
1
60
68
0
0
0
2
3
0
3
33
38
0
0
0
10
0
0
0
0
10
0
0
0
1
2
0
2
2
5
0
0
0
23
0
0
0
88
111
0
0
0
0
0
0
0
4
4
0
0
0
17
0
0
0
26
43
0
0
0
32
6
0
6
19
57
0
0
0
0
0
0
0
4
4
0
0
0
0
0
0
0
5
5
States
CES
EES
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
Upper
0
0
0
8
0
0
0
6
14
Other sites
0
0
0
0
0
1
1
15
16
Kaka
0
0
0
0
0
0
0
0
1
1
0
1
1
17
4
24
3 18 19
10
2
5
4
3
20
10 13
25 20
34
18
30
40 21
72
53 51 22
67
57 23
39
26 60 63
39
27
24
58
46 25
82 71 70 71 66
26
44
28
56
37
27
90
26 28
7
0
18/7/2014
16/7/2014
14/7/2014
140
12/7/2014
10/7/2014
8/7/2014
6/7/2014
4/7/2014
2/7/2014
30/06/2014
28/06/2014
26/06/2014
24/06/2014
22/06/2014
20/06/2014
18/06/2014
16/06/2014
14/06/2014
12/06/2014
10/06/2014
08/06/2014
06/06/2014
04/06/2014
02/06/2014
31/05/2014
29/05/2014
27/05/2014
25/05/2014
23/05/2014
21/05/2014
19/05/2014
17/05/2014
15/05/2014
13/05/2014
11/05/2014
Total
09/05/2014
Wau Shilluk, Malakal
07/05/2014
Reporting Sites
05/05/2014
03/05/2014
01/05/2014
29/04/2014
27/04/2014
25/04/2014
23/04/2014
21/04/2014
Number of cases
Nile
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
Number of cases
States 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
0 0 0 151 16 1 17 625 793
*No reports were received from EES on 18th except for Owiny kibul (Magwi county) 5 0 0 325 47 16 63 2044 2433
Figure 1: Central Equatoria State Epidemic curve as at 18 July 2014 Alive
Died
120
100
80
60
40
20
0
Date of onset 29
Figure 2: Eastern Equatoria State Epidemic curve as at 18 July 2014 Alive
80
Dead
70
60
50
74 59
46
19
0
29
Date of onset
2
Figure 3: Upper Nile State Epidemic curve as at 15 July 2014 140
Dead Alive
Cholera cases
120 100 80 60 40 20 0
Date of visit
Table 3: Areas that continue to report suspected cholera alerts as at 17 July 2014 Date of notification
Details of the alert
Area
Action
05/07/2014
The number of cases in Malakal with two deaths. been admitted in two days.
Malakal PoC
05/07/2014
The number of AWD (suspected cholera cases) in Bol PHCU/CTC has risen to 20 cases with 6 deaths.
Bol, Lul Payam, Fashoda county, Upper Nile State
01/07/2014
A total of 50 suspected cases including two deaths have been reported from at least five payams in Kapoeta North County. There are three patients admitted in Irwoto PHCC CTC
Kapoeta North, Eastern Equatoria State
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. Case management is ongoing in Irwoto PHCC/CTC where three patients are currently admitted. Laboratory test results for the three samples submitted to the National Public Health Reference Laboratory are still pending.
suspected cholera PoC has risen to 53 No new cases have the CTC for the last
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 3
