Font Size



Epidemiological study of cholera hotspots and epidemiological basins in East and Southern Africa

South Sudan is located in Central-East Africa, bordered by Sudan to the north, Ethiopia to the east, Kenya to the southeast, Uganda to the south, the Democratic Republic of the Congo (DRC) to the southwest, and the Central African Republic to the west. South Sudan recently gained independence from the North in 2011 (2). Inter-ethnic warfare and politic rivalries has led to a civil war that has been ongoing since December 2013 (2). In July 2016, a second outburst of violence erupted in Juba, the capital, and subsequently spread to the Greater Equatoria Region (2). As a direct consequence of the prolonged conflict, approximately one-third of the total population (3.5 of 12 million) were displaced, with approximately two million of those internally displaced and over 1.5 million finding refuge in neighboring countries, especially Kenya, Sudan and Uganda (2). Due to the precarious living conditions of many South Sudanese, cholera represents a major public health concern. From 2014 to 2017, epidemics have been declared every year, during which time the country reported 28,677 cases and 650 deaths due to cholera (case fatality rate (CFR)≈2.3%) (3).