Published Date: 2009-01-05 16:00:43
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2009 (02)
Archive Number: 20090105.0038

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (02)
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International Society for Infectious Diseases
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In this update:
Africa
[1] Cholera - Zimbabwe
[2] Cholera - South Africa (Gauteng, Limpopo)
[3] Cholera - South Africa (Western Cape)
[4] Cholera - Zambia (Lusaka)
[5] Cholera - Ghana (Greater Accra)

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[1] Cholera - Zimbabwe
Date: Sun 4 Jan 2009
Source: UN Office for the Coordination of Humanitarian Affairs
(OCHA), ReliefWeb, World Health Organization (WHO) report [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SID/RMOI-7MYLQZ?OpenDocument&rc=1&cc=zwe>


Zimbabwe: daily cholera update - 3 Jan 2009
-------------------------------------------
Highlights of the day:
- 693 cases and 9 deaths added today (in comparison 635 cases and 49
deaths yesterday)
- 46.3 percent of the districts affected have reported today (25 out
of 54 affected districts)
- 87 percent of districts reported to be affected (54 districts/62)
- Rumors of cases in Nyanga district in Manicaland (not previously
affected). District shares borders with affected districts Makoni and Mudzi
- All 10 of the country's provinces are affected

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Communicated by:
ProMED-mail
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[The total reported cases of cholera as of 3 Jan 2009 is now 33 212
and the number of cholera-related fatalities is 1640. This represents
increases of 1556 cases and 76 deaths since the last ProMED-mail
posting of 1 Jan 2009 data. The overall case-fatality rate is 4.93
percent, substantially higher than most outbreaks of cholera. This
likely reflects the difficulty in accessing adequate medical care in Zimbabwe.

A map of Zimbabwe with provinces can be found at
<http://www.un.org/Depts/Cartographic/map/profile/zimbabwe.pdf>.
The HealthMap/ProMED-mail interactive map of Zimbabwe is available at
<http://healthmap.org/promed/en?v=-19,29.9,6>.

The full report can be accessed at
<http://reliefweb.int/rw/rwb.nsf/db900sid/RMOI-7MYLQZ/$File/full_report.pdf>.
- Mod.LL]

******
[2] Cholera - South Africa (Gauteng, Limpopo)
Date: Mon 5 Jan 2009
Source: News24, South African Press Association (SAPA) report [edited]
<http://www.news24.com/News24/South_Africa/News/0,,2-7-1442_2448829,00.html>


The number of confirmed cholera cases in Gauteng stands at 21, a
health official said on Monday [5 Jan 2009]. "The confirmed cases in
Gauteng are 21 since the outbreak in mid-November [2008]. The death
toll is still 3," said Dr Chika Esomugha, a medical advisor for
public health in Gauteng.

In Limpopo, the overall number of confirmed cases is 1441, said its
provincial health spokesperson Phuti Seloba. He said 33 suspected
cases were reported at the weekend [3-4 Jan 2009] but these had not
been confirmed as cholera yet. Limpopo's cholera death toll since 15
Nov 2008 is 9.

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Communicated by:
ProMED-mail
<promed@promedmail.org>

[It is not clear how many of the cases were locally acquired.

A map of South Africa showing the location of Gauteng and Limpopo
provinces can be seen at
<http://www.un.org/Depts/Cartographic/map/profile/southafr.pdf>.

******
[3] Cholera - South Africa (Western Cape)
Date: Sat 3 Jan 2009
Source: Bush Radio News [edited]
<http://bushradionews.blogspot.com/2009/01/cholera-contained-in-cape-town.html>


The Western Province Health Department and Cape Town City Health say
7 close contacts of 2 confirmed cholera patients in the city are
being closely monitored. A 29-year-old woman and a 42-year-old woman,
both from Khayelitsha, are improving after being diagnosed with the disease.

Western Cape director communications Faizah Steyn says as soon as
there was a cholera outbreak in Zimbabwe, the provincial health
department warned its workers to be vigilant.

[Byline: Mandisi Tyulu]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[This report does not mention a 6-month-old child with suspected
cholera reported in ProMED-mail's Cholera, diarrhea & dysentery
update 2008 (54) 20081218.3988.

A map of South Africa showing Cape Town's location in the
southwestern part of the Western Cape Province can be seen at
<http://www.un.org/Depts/Cartographic/map/profile/southafr.pdf>.

The HealthMap/ProMED-mail interactive map of South Africa can be seen at
<http://healthmap.org/promed/en?g=3365957&g=1085594&g=1085597&v=-28.05,22.667,5>.
- Mod.LL]

******
[4] Cholera - Zambia (Lusaka)
Date: Sun 4 Jan 2009
Source: Afrique en Ligne, Panafrican News Agency (PANA) report [edited]
<http://www.afriquejet.com/news/africa-news/lusaka-registers-30-cholera-patients-2009010418757.html>


The number of cholera patients in Zambia's capital city, Lusaka, has
risen to 30 since the disease broke out in Zambia, district
commissioner of Lusaka, Christah Kalulu, has confirmed. According to
local media reports, Kalulu said since the outbreak of cholera, 334
people had been treated.

Kalulu said cholera cases had been recorded in the high-density areas
of Kanyama, Chaisa, and Matero.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[A map of Zambia showing Lusaka can be seen at
<http://www.un.org/Depts/Cartographic/map/profile/zambia.pdf>.
The HealthMap/ProMED-mail interactive map of Zambia can be accessed at
<http://healthmap.org/promed/en?g=909137&v=-16,28,5>. - Mod.LL]

******
[5] Cholera - Ghana (Greater Accra)
Date: Fri 2 Jan 2009
Source: Peace FM Online, Daily Graphic/Rispah Agyekum(Citifmonline)
report [edited]
<http://www.peacefmonline.com/index.php?option=com_content&view=article&id=19144:cholera-outbreak-in-some-parts-of-accra&catid=45:health&Itemid=59>


A cholera scare has gripped residents of some parts of Accra,
especially those of the Okaikoi, Ablekuma, and Ayawaso constituencies.

Over the past 3 weeks, 32 cases of cholera have been recorded at
various hospitals and clinics. No deaths have been recorded. Poor
environmental sanitation and lack of potable water in the affected
areas have been identified as major contributors to the outbreak.

Giving statistics, an official of the Metro Public Health Department
of the Accra Metropolitan Assembly (AMA) said 11 cases were reported
at Ablekuma, 20 at Okaikoi, and one at Ayawaso.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Accra in the Greater Accra region can be seen in southern Ghana on a map at
<http://www.un.org/Depts/Cartographic/map/profile/ghana.pdf>.
The HealthMap/ProMED-mail interactive map of Ghana can be accessed at
<http://healthmap.org/promed/en?g=2306104&v=7.55,-0.217,6>. - Mod.LL]

[The outbreaks reported in this update can be found on the
HealthMap/ProMED-mail interactive map at
<http://www.healthmap.org/promed>. - Mod.LL]

See Also

Cholera, diarrhea & dysentery update 2009 (01) 20090102.0015
2008
----
Cholera, diarrhea & dysentery update 2008 (57) 20081231.4125
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
...................................ll/mj/dk


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