Published Date: 2009-01-13 18:00:41
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2009 (06)
Archive Number: 20090113.0140
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (06)
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In this update:
Africa
[1] Cholera - Zimbabwe: WHO
[2] Cholera - Africa: WHO
[3] Cholera - Togo (Maritime)
[4] Cholera - Malawi (Chikwawa)
[5] Cholera - Zambia
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[1] Cholera - Zimbabwe: WHO
Date: Mon 12 Jan 2009
Source: UN Office for the Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, Government of Zimbabwe; WHO report [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SID/EGUA-7N8R5D?OpenDocument>
Zimbabwe: daily cholera update and alerts, 12 Jan 2009
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Highlights of the day:
- 1472 cases and 117 deaths added today (in comparison 541 cases and 25
deaths yesterday [11 Jan 2009])
- 68 per cent of the districts affected have reported today (38 out of 55
affected districts)
- 89 per cent of districts reported to be affected (55 districts/62)
- newly affected areas: Chamunangana (Beitbridge), Ngungumbane (Mberengwa)
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[The total number of cases reported in the full report
(http://reliefweb.int/rw/rwb.nsf/db900sid/EGUA-7N8R5D/$File/full_report.pdf)
is now just short of 40 000 at 39 806, and the total fatality count has
broken the 2000 barrier at 2024. The outbreak continues to spread to new
areas and the overall case fatality rate, reflecting the overall poor
conditions in the country, remains quite high at 5.1 per cent.
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>. - Mod.LL]
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[2] Cholera - Africa: WHO
Date: Mon 12 Jan 2009
Source: UN Office for the Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, WHO report [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SID/JBRN-7N9KFD?OpenDocument&rc=1&cc=zwe>
Africa: weekly emergency situation update vol 2, no 2
-----------------------------------------------------
Acute crises
------------
Angola: the cholera outbreak is still spreading. In week 2 of 2009, a total
of 54 new cases without death were reported. Since the beginning of 2009, a
cumulative number of 90 cases without death have been reported.
Congo DR: the cholera outbreak is still ongoing in the North Kivu, on week
one of 2009, a total of 119 cases with one death were reported in 6 health
districts.
Ethiopia: acute watery diarrhea (AWD) [usually a more politically correct
term for cholera - Mod.LL] has reappeared in Humbo district of Welayita
zone in SNNPR [Southern Nations, Nationalities, and People's Region]
according to the Federal Ministry of Health. In epidemiological week 51
[15-21 Dec] of 2008; 58 cases have been reported compared to 8 cases in
epidemiological week 52.
Mozambique: the cholera outbreak is ongoing. 8 provinces are affected from
a total of 11 provinces. According to the Ministry of Health, as of 4 Jan
2009, a total of 10 066 cases of cholera, including 113 deaths (CFR [case
fatality rate] 1.12 per cent), have been reported.
Zimbabwe: the cholera outbreak is not under control. As of 9 Jan 2009, a
total of 37 556 cases with 1915 deaths (CFR 5.1 per cent) have been
reported in 55 of the 62 districts (89 per cent) countrywide.
Countries under surveillance
----------------------------
Cholera in southern Africa: cholera outbreaks are still on going in
Botswana (5 confirmed cases without death on 8 Jan 2009), Malawi (370 cases
with 13 deaths (CFR 3.5 per cent) as of 6 Jan 2009), South Africa (as of 5
Jan 2009, a total of 1608 cumulative cases and 14 deaths (CFR 0.87 per
cent) were reported).
Guinea-Bissau: the cholera outbreak is under control. On the 1st week of
2009, 2 cases without death were reported. A cumulative total of 14 228
cases and 225 deaths have been reported since the beginning of the outbreak.
Kenya: there is an ongoing cholera outbreak in the 3 districts of Mandera.
Over 1400 cases, 13 deaths reported since 17 Nov 2008.
Mali: security forces continue to be active against rebel groups operating
in northern and north eastern Mali. On 11 Jan 2009, the army attacked
several positions of Touareg rebel group in the north.
Zambia: cholera outbreak: 6 provinces are affected; as of 6 Jan 2009, a
total of 1759 cases with 21 deaths (figures have been reviewed) have been
reported in Lusaka District.
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[3] Cholera - Togo (Maritime)
Date: Tue 13 Jan 2008
Source: UN Office for the Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, Int Fed of Red Cross and Red Crescent Societies report [edited]
<http://www.reliefweb.int/rw/rwb.nsf/db900SID/EDIS-7N9QJD?OpenDocument>
The Togolese Red Cross (TRC) is assisting the government in controlling the
outbreak of cholera epidemic in Lome [Golfe prefecture, Maritime Region]
and its environs since December 2008. With 429 cases and 3 deaths reported
since the outbreak, the Togolese Red Cross through its team of volunteers
has been active in sensitizing the affected communities and carrying out
health and hygiene activities. The national society is also involved in
detecting and referring cases to health facilities. Though number of
reported cases is decreasing in Lome, the Togolese Red Cross plans to
intensify its activities in the affected communities as well as in
neighbouring districts identified as prone to the widely contagious epidemic.
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[A map of Togo showing the affected area in the south of the country can be
found at
<http://reliefweb.int/rw/fullMaps_Af.nsf/luFullMap/29ACC1330B9697478525753D005759F0/$File/map.pdf?OpenElement>.
The HealthMap/ProMED-mail interactive map of Togo is available at
<http://healthmap.org/promed/en?g=6296482&v=8.166,1.255,7>. - Mod.LL]
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[4] Cholera - Malawi (Chikwawa)
Date: Tue 13 Jan 2009
Source: The Daily Times (Malawi) [edited]
<http://www.dailytimes.bppmw.com/article.asp?ArticleID=11819>
A suspected cholera patient was on Sunday [11 Jan 2009] admitted to
Chikwawa District Hospital with medial authorities suspecting the disease
has also affected some rural parts of the district. In an interview on 11
Jan 2009, Chikwawa District [Southern Region] health officer Malangizo
Mbewe confirmed the admission of the patient. However, Mbewe said the case
in admission was subject to confirmation because specimen was sent to Queen
Elizabeth Central Hospital in Blantyre.
"We have so far got only one cholera suspect who was admitted on Sunday. At
the moment, we have taken specimen for tests and confirmation in Blantyre,"
Mbewe said. According to Mbewe, the cholera suspect hails from Sipuni
Village in Traditional Authority Katunga in the district. He said this was
the 1st reported case of cholera in the district.
Likuni in Lilongwe was the first area in the country to report cases of
cholera since onset of this rainy season.
[byline: Lucas Bottoman]
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[The area mentioned is in southern Malawi bordering on Mozambique and can
be seen on a map at
<http://www.un.org/Depts/Cartographic/map/profile/malawi.pdf>. The
HealthMap/ProMED-mail interactive map of Malawi is available at
<http://healthmap.org/promed/en?g=931067&v=-12.167,34.75,6>. - Mod.LL]
******
[5] Cholera - Zambia
Date: Tue 13 Jan 2009
Source: The Times (Zambia), SAPA-DPA report [edited]
<http://www.thetimes.co.za/News/Article.aspx?id=917455>
Cholera deaths in Zambia have reached 28 as the southern African nation
battles to contain about 2000 reported cases of cholera, according to radio
reports today [13 Jan 2008]. Ministry of Health spokesman, Cannisius Banda,
told a private radio program that traffic from neighboring Zimbabwe and
poor water and sanitation systems, mainly in Zambia's peripheral urban
areas have contributed to the spread of the waterborne disease.
--
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[A map of Zambia showing Lusaka where previous postings have reported
cholera 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?v=-14,27.8,6>. - Mod.LL
The outbreaks reported in this update can also be found on the
HealthMap/ProMED-mail interactive map at <http://www.healthmap.org/promed>.
- Mod.LL]
See Also
Cholera, diarrhea & dysentery update 2009 (05) 20090112.0124Cholera, diarrhea & dysentery update 2009 (04) 20090110.0107
Cholera, diarrhea & dysentery update 2009 (03) 20090107.0061
Cholera, diarrhea & dysentery update 2009 (02) 20090105.0038
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 (30) 20080702.2019
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 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
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 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040
.................ll/mj/sh
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