Published Date: 2009-02-03 18:00:44
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2009 (12)
Archive Number: 20090203.0474
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (12)
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A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
In this update:
Africa
[1] Cholera - Zimbabwe: WHO
[2] Cholera - South Africa (Mpumalanga, Limpopo)
[3] Cholera - Malawi (Central region)
[4] Cholera - Nigeria, Niger
[5] Cholera - Zambia (Northwestern, Southern provinces)
[6] Cholera - Togo (Maritime)
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[1] Cholera - Zimbabwe: WHO
Date: Sun 1 Feb 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/TUJA-7NV48G?OpenDocument&rc=1&cc=zwe>
Zimbabwe: daily cholera update and alerts, 1 Feb 2009
-----------------------------------------------------
Highlights of the day:
- 1672 cases and 53 deaths added today (in comparison 555 cases and 3
deaths yesterday [31 Jan 2009])
- 36.2 percent of the districts affected have reported today (21 out
of 58 affected districts)
- 88.7 percent of districts reported to be affected (55 districts/62)
- 1 death occurred on 31 Jan 2009 in new area in Binga (Sinakoma)
- Mutare cases reduced by 73 and Ruwa deaths reduced by 6 after data cleaning
- Mazowe district reported 3 cases and 1 death for 1 Feb 2009, 7
cases and 1 death for 31 Jan 2009 and 5 cases and 0 deaths for 30 Jan 2009
- Midlands province did not report
- Chipinge district reported after 12 days
- Chiredzi district reported after 3 days with one reporting after 10
days, another reporting after 6 days and 2 others reporting after 19 days
- cumulative institutional case fatality rate 2.1 percent
- daily institutional case fatality rate 2.3 percent
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The total number of cases reported in the full report is well over
the 60 000 barrier, now at 62 909, and the total fatality count is
3229. In the 5 days since ProMED-mail's last posting the cases, which
obscenely show no signs of abatement, have risen by 5207 and the
fatalities by 201. This is an average of about 1040 cases with 40
deaths each day. The outbreak continues to spread to new areas and
the overall case fatality rate, reflecting the overall poor
conditions in the country, remains very high at 5.1 percent.
The full report can be found at
<http://reliefweb.int/rw/rwb.nsf/db900sid/TUJA-7NV48G/$File/full_report.pdf>.
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]
******
[2] Cholera - South Africa (Mpumalanga, Limpopo)
Date: Mon 2 Feb 2009
Source: The Times, South African Press Association (SAPA) report [edited]
<http://www.thetimes.co.za/News/Article.aspx?id=930714>
11 more people have died of cholera in Mpumalanga and Limpopo, the
provinces' health departments said. Mpumalanga spokesman Mpho
Gabashane said 7 more people had died of cholera related illness in
the province, bringing the death toll to 26 in the region. Limpopo
health spokesman Phuti Seloba said 4 deaths had been confirmed. This
brought the province's cholera death toll to 20. Seloba added the 4
deaths were not recent, but that the department had received test
results only on Monday [2 Feb 2009] confirming the 4 victims had had cholera.
A total of 4165 people with cholera symptoms had been treated in
Mpumalanga alone by Monday afternoon [2 Feb 2009] since the outbreak,
blamed on the Zimbabwean collapse as well as government's lack of
delivery in SA [South Africa], began during November 2008. Limpopo
officials said 3600 people in the province were suffering from
cholera symptoms.
Dr Lucille Blumberg from the National Institute for Communicable
Diseases said that, even though the outbreak originated outside South
Africa, it was spreading to more SA communities. This was especially
so in Limpopo and Mpumalanga due to the unavailability of purified
water and proper sanitation in most of the rural areas in the provinces.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
The HealthMap/ProMED-mail map of South Africa is available at
<http://healthmap.org/promed/en?v=-29,25.1,5>. - Mod.LL]
******
[3] Cholera - Malawi (Central region)
Date: Mon 2 Feb 2009
Source: Nyasa Times [edited]
<http://www.nyasatimes.com/national/2599.html>
Cholera has broken out at Lilongwe police station and health
authorities have since turned the police station into a cholera
treatment center. Central region police spokesman John Namalenga
confirmed about the cholera outbreak but said there have been no
deaths recorded so far.
So far about 39 people have died across the country due to cholera.
Lilongwe alone has had over 30 deaths.
In a related development, at least one person out of the 3 cholera
suspects who died recently in Kasungu has been confirmed to have died
of the disease according to Kasungu district deputy health officer,
Josam Banda.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The areas mentioned are in Malawi's Central region and can be found
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?v=-13.2,34.3,6>. - Mod.LL]
******
[4] Cholera - Nigeria, Niger
Date: Fri 30 Jan 2009
Source: AllAfrica, The Daily Trust report [edited]
<http://allafrica.com/stories/200901300312.html>
The Federal Ministry of Health has alerted the National Emergency
Management Agency (NEMA) on the possible outbreak of cholera in some
states. The delegation from the ministry led by the director public
health professor Abdulsalam Nasidi, informed NEMA that the disease
may have broken out in parts of Ebonyi, Niger, Nassarawa, and Benue
states, following reports of the epidemics in the neighboring countries.
"The alert was issued based on information available to the ministry
about the outbreak of the disease in Zinder Region of Niger Republic
where reported cases of infection and death were reported," he said.
[Byline: Abdulkadir Badsha Mukhtar]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
The Zinder region in southern Niger can be found on a map at
<http://www.un.org/Depts/Cartographic/map/profile/niger.pdf> and
The states in Nigeria mentioned can be found on a map at
<http://www.un.org/Depts/Cartographic/map/profile/nigeria.pdf>. None
border on Niger. - Mod.LL
Both countries can be located on the HealthMap/ProMED-mail
interactive map at <http://healthmap.org/promed/en?v=17.4,9.4,5>. - CopyEd.MJ]
******
[5] Cholera - Zambia (Northwestern, Southern provinces)
Date: Thu 29 Jan 2009
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english/2009-01/29/content_10734697.htm>
Cholera has broken out in Choma, in Southern Province of Zambia, with
2 cases recorded in the district so far, Zambia News and Information
Services (ZANIS) reported on Thursday [29 Jan 2009]. District
commissioner Laiven Apuleni confirmed this to ZANIS in Choma on that
day. He said there have been no deaths recorded so far.
In Solwezi, in Northwestern Province, the cholera outbreak, which
claimed 2 lives at Chiljingejinge 2 weeks ago, has been contained.
Solwezi district medical doctor Harrison Ng'uni disclosed that 20
cases of suspected cholera were reported at the Kimasala cholera
isolation center, 18 were admitted and 14 were treated and
discharged. He said 6 clients tested positive of cholera and were
under treatment and in stable condition.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The Northwestern and Southern provinces can be found on a map at
<http://www.un.org/Depts/Cartographic/map/profile/zambia.pdf>.
The HealthMap/ProMED-mail interactive map of Zambia is available at
<http://healthmap.org/promed/en?v=-14.417,26,6>.
******
[6] Cholera - Togo (Maritime)
Date: Sun 1 Feb 2009
Source: Xinhua News Agency [in Chinese, trans. submitter AH, edited]
<http://news.hsw.cn/2009-02/01/content_10576302.htm>
According to media reports on 31 Jan 2009, Togo has experienced a
cholera epidemic during which about 620 people have contracted
cholera, of which 7 people died.
In December 2008 the Government of Togo in Lome had announced an
outbreak of cholera. Since then, the World Health Organization (WHO)
provided to Togo a number of cholera prevention measures and drugs.
Togo broadcast media also published a notice, so that people
understand the epidemic situation and preventive measures.
--
Communicated by:
HealthMap Alerts via ProMED-mail Rapporteur Dr Angela Huang
[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?v=8.166,1.255,7>. - 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/en>. - Mod.LL]
See Also
Cholera, diarrhea & dysentery update 2009 (11) 20090128.0393Cholera, diarrhea & dysentery update 2009 (10) 20090126.0355
Cholera, diarrhea & dysentery update 2009 (09) 20090122.0275
Cholera, diarrhea & dysentery update 2009 (08) 20090120.0245
Cholera, diarrhea & dysentery update 2009 (07) 20090116.0182
Cholera, diarrhea & dysentery update 2009 (06) 20090113.0140
Cholera, diarrhea & dysentery update 2009 (05) 20090112.0124
Cholera, 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
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