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Published Date: 2008-12-31 19:00:41
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2008 (57)
Archive Number: 20081231.4125

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2008 (57)
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In this update:
Africa
[1] Cholera - Africa: WHO
[2] Cholera - Zimbabwe

*****
[1] Cholera - Africa: WHO
Date: Wed 31 Dec 2008
Source: World Health Organization (WHO) [edited]
<http://www.reliefweb.int/rw/rwb.nsf/db900SID/ASAZ-7MUFAL?OpenDocument&rc=1&cc=zwe>

Africa weekly emergency situation update No. 42
-----------------------------------------------

Country Situations
------------------
- Angola: The cholera outbreak is still of high concern. In week 51,
a total of 69 new cases and 3 deaths were reported. From January 2008
to 28 Dec 2008, nationwide, 10 507 cases and 243 deaths were reported
[CFR 2.3 percent]. The WHO is supporting national authorities to
strengthen coordination and response activities.

- Congo DR: The cholera outbreak is ongoing in North Kivu; during
week 51 a total of 137 new cases with 1 death [CFR 0.7 percent] were
reported.

- Mozambique: The cholera outbreak is ongoing. 8 provinces are now
affected from a total of 11 provinces. In week 51, a total of 153 new
cases without death were reported. Cumulative total since week 34 is
1738 cases with 31 deaths [CFR 1.8 percent]. The WHO and partners are
supporting the control of the outbreak.

- Zimbabwe: The cholera outbreak is not yet under control. As of 25
Dec 2008, a total of 26 497 cases with 1518 deaths (CFR 5.7 percent)
have been reported in 2/3rds of the country's 62 districts. The WHO and
other partners are supporting the response activities.

Countries Under Surveillance
----------------------------
- Botswana: The cholera outbreak in Zimbabwe has already spread into
Botswana where 8 suspected cases and 3 confirmed have been reported
as of 17 Dec 2008.

- Guinea-Bissau: The trend of cholera outbreak is under control. One
non-fatal
case was reported on week 51. A cumulative total of 14 220 cases and
225 deaths have been reported since the beginning of the outbreak [CFR
1.6 percent].

- Kenya: Ongoing cholera outbreak in the 3 districts of Mandera. More
than 1400 cases, 13 deaths reported since 17 Nov 2008 [CFR less than 1
percent].

- Malawi: The cholera outbreak case numbers are rising. As of 28 Dec
2008, a cumulative totla of 248 cases with 11 deaths (CFR 4.4 percent)
were reported. The Ministry of Health has 7 treatment sites in
Lilongwe district. [This is an unusually high CFR, approaching that
seen in Zimbabwe. - Mod.JW].

- South Africa: Cholera outbreak: as of 26 Dec 2008, 1279 cumulative
cases and 12 deaths (CFR 0.9 percent) were reported, with the bulk
(1194) in the Limpopo area.

- Zambia: Cholera outbreak: since the past 2 months, 176 cases with 4
deaths have been reported by the health authorities in Lusaka District
[CFR 2.3 percent].

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[A map of the continent showing the countries mentioned can be found at:
<http://www.un.org/Depts/Cartographic/map/profile/africa.pdf>. - Mod.LL]

*****
[2] Cholera - Zimbabwe
Date: 31 Dec 2008
Source: WHO [edited]
<http://www.reliefweb.int/rw/rwb.nsf/db900sid/ASAZ-7MUEUB/$File/full_report.pdf>

Zimbabwe: Daily cholera update, 30 Dec 2008
-------------------------------------------
Highlights of the day:
- 630 cases and 58 deaths added today [31 Dec 2008] (compared to 1268
cases yesterday)
- 39.6 percent of the districts affected have reported today (21/53
affected districts)
- 85 percent of districts reported to be affected (53/62)
- All 10 of the country's provinces are affected.

Cumulative cases: 30938
Cumulative deaths: 1551 [CFR 5 percent]

[The cumulative case number has increased from 29 131 to 30 938, an
increase of 1607 since the last posting 2 days ago. The death
statistics is more or less unchanged because some unconfirmed deaths
were subtracted, not because no deaths occurred.

A new map of the country showing the affected areas with data through
28 Dec 2008 can be found at:
<http://www.reliefweb.int/rw/fullMaps_Af.nsf/luFullMap/96C7380167F913F6C125753000473B3C/$File/map.pdf?OpenElement>
- Mod.LL]

Cholera, diarrhea & dysentery update 2008 (56) 20081229.4094
Cholera, diarrhea & dysentery update 2008 (55) 20081223.4040
Cholera, diarrhea & dysentery update 2008 (54) 20081218.3988
Cholera, diarrhea & dysentery update 2008 (53) 20081216.3949
Cholera, diarrhea & dysentery update 2008 (52) 20081215.3940
Cholera, diarrhea & dysentery update 2008 (51) 20081212.3906
Cholera, diarrhea & dysentery update 2008 (50) 20081208.3854
Cholera, diarrhea & dysentery update 2008 (40) 20081014.3253
Cholera, diarrhea & dysentery update 2008 (30) 20080702.2019
Cholera, diarrhea & dysentery update 2008 (20) 20080404.1240
Cholera, diarrhea & dysentery update 2008 (10) 20080212.0563
Cholera, diarrhea & dysentery update 2008 (01) 20080104.0047
2007
----
Cholera, diarrhea & dysentery update 2007 (67) 20071231.4200
Cholera, diarrhea & dysentery update 2007 (60) 20071126.3824
Cholera, diarrhea & dysentery update 2007 (50) 20071023.3450
Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (30) 20070830.2856
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
Cholera, diarrhea & dysentery update 2007 (10) 20070302.0737
Cholera, diarrhea & dysentery update 2007 (01) 20070105.0047
2006
----
Cholera, diarrhea & dysentery update 2006 (52) 20061229.3646
Cholera, diarrhea & dysentery update 2006 (50) 20061215.3528
Cholera, diarrhea & dysentery update 2006 (40) 20061006.2862
Cholera, diarrhea & dysentery update 2006 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (20) 20060512.1352
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040
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