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Cholera and AWD outbreak bulletin in Eastern and Southern Africa, as of 2 August 2018, 9 Issue

Regional Update for 2018 - as of 2 August 2018

 

Highlights

More than 24,105 cholera / AWD cases and 344 deaths (Case Fatality Rate, 1.4%) have been reported in 10 out of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2018. These countries include; Angola, Kenya, Malawi, Mozambique, Rwanda, Somalia, Tanzania, Uganda, Zambia and Zimbabwe. Kenya accounts for 23.8% of the total case load reported this year followed by Somalia at 23.1%. Currently, 4 out of the 21 countries in ESAR are reporting active transmission of cholera / AWD (Somalia, Tanzania, Uganda and Kenya). During the week under review, Somalia reported the highest number of new cases (146 cases), followed by Tanzania (104 cases). Apart from Somalia, all countries with active transmission have recorded CFR above 1% in 2018, with Uganda (CFR, 2.1 %) and Tanzania (CFR, 2 %) recording the highest CFR.

Somalia: A decline in the epidemic trend has been noted. During week 28 (week ending 15 July 2018), 146 new cases were reported compared to 151 cases reported in week 27 (week ending 8 July 2018). New cases emerged from the following regions; Banadir (49 cases), Lower Jubba (74 cases), Middle Shabelle (18 cases) and Lower Shabelle ( 5 cases). Cumulatively a total of 5,879 cases including 40 deaths have been reported since the beginning of the outbreak in December 2017. Of these, a total of 5,566 cases and 39 deaths have been reported in 2018.

Tanzania: A decline in the epidemic trend has been noted. During week 29 (week ending 22 July 2018), 104 new cases including 1 death (CFR, 0.9%) were reported compared to 189 cases including 4 deaths (CFR, 2.1%) reported in week 28. New cases emerged from Arusha region (97 cases) in the following districts; Ngorongoro, Monduli and Longido; and Sumbawanga district in Rukwa region (7 cases and 1 death). Cumulatively a total of 31,899 cases including 530 deaths have been reported since the beginning of the outbreak in August 2015. Of these, a total of 3,268 cases and 64 deaths have been reported in 2018. Uganda: An increase in the epidemic trend has been noted. During week 29, 43 new cases including 3 deaths (CFR, 7%) were reported compared to 11 cases reported in week 28. These new cases are concentrated in the following districts; Bulambuli (39 cases and 1 death) and Mbale ( 2 cases and 2 deaths). Cumulatively a total of 2,658 cases including 56 deaths have been reported since the outbreak started in February 2018.

Kenya: A decline in the epidemic trend has been noted. During week 30 (week ending 29 July 2018), 11 new cases were reported compared to 18 cases reported in week 29. These new cases emerged from Mombasa county. Cumulatively a total of 26,544 cases including 421 deaths have been reported since the beginning of the outbreak in December 2014. Of these, a total of 5,734 cases and 78 deaths have been reported in 2018.