Published Date: 2009-02-12 18:00:46
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2009 (15)
Archive Number: 20090212.0632
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (15)
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In this update:
Africa
[1] Cholera - Zimbabwe: WHO
[2] Cholera, Somali refugees - Kenya (North Eastern province)
[3] Cholera - Malawi
[4] Cholera - South Africa (Mpumalanga)
[5] Cholera - Mozambique
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[1] Cholera - Zimbabwe: WHO
Date: Wed 11 Feb 2009
Source: UN Office for Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, Government of Zimbabwe; WHO report [edited]
<http://www.reliefweb.int/rw/rwb.nsf/db900SID/JBRN-7P7GLW?OpenDocument&rc=1&cc=zwe>
Zimbabwe: daily cholera update and alerts, 11 Feb 2009
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Highlights of the day:
- 1698 cases and 12 deaths added today (compared with 767 cases and 40
deaths yesterday [10 Feb 2009])
- 49 per cent of the districts affected have reported today (29 out of 59
affected districts)
- 90 per cent of districts reported to be affected (56 districts/62)
- cumulative institutional case fatality rate 1.91 per cent
- daily institutional case fatality rate 0.35 per cent
- Harare's deaths revised downwards by 1 (from 110 to 109 community
deaths), Binga number of cases reduced by 3 (from 1077 to 1074)
- Binga's deaths now fully categorized into community and institutional
- no reports from Mashonaland East (Except Hwedza).
--
communicated by:
ProMED-mail
<promed@promedmail.org>
[In the 2 reporting days since the last ProMED-mail posting, the total
number of cases reported in the full report has increased from 70 643 to 73
105 and the total fatality count has increased from 3467 to 3513. This
corresponds to a daily increase in cases of 1231 and in deaths of 23. The
horrendous outbreak continues to spread to new areas and the overall case
fatality rate, reflecting the overall poor conditions in the country,
although decreasing slightly remains very high at 4.8 per cent. The full
report can be found at
<http://www.reliefweb.int/rw/rwb.nsf/db900sid/JBRN-7P7GLW/$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]
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[2] Cholera, Somali refugees - Kenya (North Eastern province)
Date: Thu 12 Feb 2009
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english/2009-02/12/content_10808300.htm>
On Thursday [12 Feb 2009], 2 relief agencies said that one case of cholera
and 14 suspected cases have been reported in the Hagadera refugee camp in
Dadaab, [north east] Kenya, numbers that have the potential to spike as
Somali refugees inundate already overstretched camps. The International
Rescue Committee (IRC) and the Norwegian Refugee Council (NRC) said in a
joint statement issued in Nairobi that they are working tirelessly to
contain the outbreak.
An average of 5000 Somalis are streaming into Dadaab every month, fleeing
ongoing violence in the Horn of Africa nation. Hagadera, one of 3 camps in
Dadaab, was originally designed for 50 000 people, but is now home to 90
000 refugees, making the pressure on existing resources intense.
--
communicated by:
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[Hagadera can be seen in the North Eastern province on a map of Kenya at
<http://www.un.org/Depts/Cartographic/map/profile/kenya.pdf>. The
HealthMap/ProMED-mail interactive map of Kenya is available at
<http://healthmap.org/promed/en?g=196919&v=0.5,37.9,6>. - Mod.LL]
******
[3] Cholera - Malawi
Date: Wed 11 Feb 2009
Source: AfricaNews [edited]
<http://www.africanews.com/site/Malawi_Cholera_deaths_hit_60/list_messages/23132>
The cholera outbreak in Malawi is reported to have killed over 60 people.
Media reports in the southern African country say about 67 people have died
across the 17 affected districts. Malawi's capital Lilongwe is the hardest
hit as recently its death toll stood at 39. The country's local daily of
The Nation quoted minister of health Khumbo Kachali as saying over 2000
cases have been recorded since the start of the rainy season with 67 people
reported dead.
According to the report, this year's cholera cases are higher. Malawi has
since established cholera camps in Lilongwe to fight the spread of the
disease, which according to principal secretary for health has been caused
by poor hygiene and drinking of unsafe water. "Lilongwe has registered 1478
cases and 40 people have died," said Kachali.
The other districts affected by the disease are Balaka in the southern
region, which has registered 203 cases with one death, Mangochi also in the
southern region with 143 cases and 3 deaths; and Nkhata Bay in the northern
region, which has registered 5 deaths.
The minister then appealed to people to improve their hygiene to fight the
disease.
Several countries in Africa are experiencing the rainy season, which has
further prolonged the cholera disease.
[byline: Sam Banda]
--
communicated by:
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[Lilongwe 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 - South Africa (Mpumalanga)
Date: Mon 2 Feb 2009
Source: South African Government Information [edited]
<http://www.info.gov.za/speeches/2009/09020310451004.htm>
Since the outbreak of cholera in the Mpumalanga province, we have as of 1
Feb 2009, 4165 cases that have been seen in various health facilities in
the province. We have also reported 26 confirmed deaths thus far. The
deaths were reported in the following areas; Mbombela North 3, Thabachweu
1, and Bushbuckridge 22.
The areas that are most affected are Mbombela North with 2206 cases;
Bushbuckridge with 1443; Mbombela south with 184; Nkomazi with 166,
Thabachweu with 161, and Umjindi with 6 cases.
--
communicated by:
Rabelani Daswa
<tangwu@webmail.co.za>
[Although this is data from more than one week ago, it breaks down areas in
the province. ProMED-mail thanks Rabelani Daswa for the posting. Mpumalanga
province in north east South Africa can be seen on a map of the country at
<http://www.un.org/Depts/Cartographic/map/profile/southafr.pdf>. The
HealthMap/ProMED-mail map of South Africa is available at
<http://healthmap.org/promed/en?g=1085595&v=-29,25.1,5>. - Mod.LL]
******
[5] Cholera - Mozambique
Date: Tue 10 Feb 2009
Source: UN Office for Coordination of Humanitarian Affairs (OCHA),
Integrated Regional Information Networks (IRIN) News [edited]
<http://www.irinnews.org/Report.aspx?ReportId=82856>
Cholera has spread to all but 2 of Mozambique's 10 provinces, but that does
not deter hundreds of vendors and buyers from crowding the waterlogged,
garbage strewn Xiquelene market on the eastern outskirts of the capital,
Maputo.
Outbreaks of cholera are common during the rainy season and there are still
2 months to go, so health authorities remain on high alert.
The World Health Organization (WHO) has noted that cholera "remains a
challenge to countries where access to safe drinking water and adequate
sanitation cannot be guaranteed ... typical at-risk areas include
peri-urban slums." The numbers show the risk is real: according to the
Ministry of Health, 2655 cases and 21 deaths were recorded in Mozambique
during the month of January 2009 alone. Since the outbreak began in October
2008, there have been 4132 cholera cases and 52 cholera-related deaths.
The latest cholera update by the UN Office for the Coordination of
Humanitarian Affairs noted that the case fatality rate since the outbreak
began was 1.3 per cent but had dropped to 0.56 per cent in January 2009.
Only the 2 southern provinces of Gaza and Inhambane have not record
cholera-related fatalities; the highest fatality rates were recorded in
Mozambique's northern and central provinces of Nampula, Cabo Del Gado,
Manica, and Tete.
--
communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>
[The provinces of Mozambique can be seen on a map at
<http://www.un.org/Depts/Cartographic/map/profile/mozambiq.pdf>. The
HealthMap/ProMED-mail interactive map of Mozambique is available at
<http://healthmap.org/promed/en?g=1051823&v=-16.156,33.587,5>. - Mod.LL]
See Also
Cholera, diarrhea & dysentery update 2009 (14) 20090210.0604Cholera, diarrhea & dysentery update 2009 (13) 20090204.0491
Cholera, diarrhea & dysentery update 2009 (12) 20090203.0474
Cholera, diarrhea & dysentery update 2009 (11) 20090128.0393
Cholera, 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
.................ll/mj/sh
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