Published Date: 2009-03-10 14:01:01
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2009 (16)
Archive Number: 20090310.0991
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (16)
**********************************************
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
[3] Cholera - Somalia (Middle Shabelle)
[4] Cholera - Kenya (Eastern Province), Ethiopia (Oromia Region)
[5] Cholera - Zambia (Central Province)
[6] Cholera - Botswana
Asia
[7] Diarrhea, fatal - Philippines (Samar)
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[1] Cholera - Zimbabwe: WHO
Date: Sun 8 Mar 2009
Source: UN Office for Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, Government of Zimbabwe; WHO report [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SID/LSGZ-7PYE3F?OpenDocument&rc=1&cc=zwe>
Zimbabwe: daily cholera update and alerts, 8 Mar 2009
-----------------------------------------------------
Highlights of the day:
- 255 cases and 2 deaths added today (in comparison 631 cases and 18
deaths yesterday [7 Mar 2009])
- 32.2 percent of the districts affected have reported today (19 out
of 59 affected districts)
- 90.3 percent of districts reported to be affected (56 districts out of 62)
- cumulative institutional case fatality rate 1.8 percent
- daily institutional case fatality rate 0.4 percent
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[In the 25 reporting days since the last ProMED-mail posting, the
total number of cases reported in the full report has increased by 16
013 from 73 105 to 89 018 and the total fatality count has increased
by 498 from 3513 to break the 4000 barrier at 4011. This corresponds
to a daily increase in cases of 640 and in deaths of 20. 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 4.5 per
cent. The full report can be found at
<http://reliefweb.int/rw/rwb.nsf/db900sid/LSGZ-7PYE3F/$File/full_report.pdf>
An up-to-date map of the epidemic can be found at
<http://reliefweb.int/rw/fullMaps_Af.nsf/luFullMap/44ED9CD15787744E8525757400599BD0/$File/map.pdf?OpenElement>
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
Date: Mon 9 Mar 2009
Source: Agence France-Presse (AFP) [edited]
<http://www.google.com/hostednews/afp/article/ALeqM5gLRGT2fcbFvRKCiIagnxkaRGodHA>
A cholera outbreak in South Africa is being brought under control
after 59 people died and more than 12 000 were infected since
November 2008, the health department said on Monday [9 Mar 2009].
"We are seeing a very welcome decline in figures," said Thami
Mseleku, the department's director-general. Most of the cases were in
regions near the border with Zimbabwe, where more than 4000 people
have been killed by the disease. But officials said the outbreak in
South Africa could not be blamed entirely on Zimbabwe.
"Cholera started to develop in South Africa as a consequence of
general living conditions and unsafe water supplies," Health Minister
Barbara Hogan told a press briefing. Government also defended the
decision to shut down a makeshift refugee camp on the Zimbabwe border
housing thousands of asylum seekers, saying the conditions there were
appalling.
"The situation is totally untenable," said Water Minister Lindiwe
Hendricks. She said crowds at the municipal showgrounds often swelled
to 8000 in the evenings as farmworkers came to try and receive food
parcels meant for asylum seekers in the border town of Musina. Global
medical charity Doctors Without Borders had on denounced plans to
shut down the refugee camp.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[A map of the country of South Africa can be found 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?v=-29,25.1,5>. - Mod.LL]
******
[3] Cholera - Somalia (Middle Shabelle)
Date: Sun 8 Mar 2009
Source: AllAfrica, Shabelle Media Network (Mogadishu) report [edited]
<http://allafrica.com/stories/200903091184.html>
At least 11 people died of cholera for the last 24 hours in Qordheer
village in Rage Elle District in Middle Shabelle [Shabelle Dhexe]
Region in south-central Somalia, Shabelle's Shador Haji reported on
Sunday [8 Mar 2009]. 8 children and 3 women are confirmed dead in the village.
Sheik Ali Dhere, a resident in Rage Elle said there were people who
are now sick and need a helping hand. Qordheer village does not have
a [health] center. There is also a water shortage and drought in the area.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[A map of Somalia can be found at
<http://www.un.org/Depts/Cartographic/map/profile/somalia.pdf>.
The HealthMap/ProMED-mail interactive map of Somalia is available at
<http://healthmap.org/promed/en?v=6.1,47.9,5>. - Mod.LL]
******
[4] Cholera - Kenya (Eastern Province), Ethiopia (Oromia Region)
Date: Thu 5 Mar 2009
Source: Kenya Broadcasting Corporation (KBC) [edited]
<http://www.kbc.co.ke/story.asp?ID=55976>
3 people have died and 46 others have been treated at Moyale District
Hospital following an outbreak of cholera. Area acting Medical
Officer of Health Dr Abdullahi Jaldesa said 5 people were currently
admitted at the hospital while the rest were treated and discharged.
Dr Jaldesa said specimens taken from the patients were examined by
the Disease Control Surveillance Unit from Embu, which confirmed the
cholera outbreak. He said the disease was first spotted across the
border in Ethiopia where 15 people have reportedly died and 108
others admitted at an emergency cholera treatment centre set up by
the Ethiopian government to contain the outbreak.
Dr Jaldesa said the most affected areas were Hellu, Biashara, and
Manyatta Burji on the outskirts of Moyale town.
[Byline: Rose Kamau]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Moyale is located in the extreme northern aspect of the Eastern
Province and borders on the Oromia region of Ethiopia as seen on the
maps at <http://www.un.org/Depts/Cartographic/map/profile/kenya.pdf>
and <http://en.wikipedia.org/wiki/Regions_of_Ethiopia>. - Mod.LL]
******
[5] Cholera - Zambia (Central Province)
Date: Tue 3 Mar 2009
Source: AllAfrica, Times of Zambia report [edited]
<http://allafrica.com/stories/200903030574.html>
District Commissioner, Stanley Chibwana has said 3 more people have
died of suspected cholera in Chief Chisomo's area in Serenje,
bringing the total number to 14. Mr Chibwana said in an interview
yesterday [2 Mar 2009] the number of patients admitted to the local
clinic had also swelled to 10.
"Preliminary tests are so far pointing to cholera and we trying our
best to contain the situation to stop further deaths. Of all
admissions so far, 6 people have been discharged and we have opened
up 2 satellite camps in Kaombe and Chimbaya which shall later be
transformed into cholera bays," Mr Chibwana said.
Last Wednesday [25 Feb 2009], 9 people died after drinking suspected
contaminated water in Kaombe and Chimbaya areas in Vice-President
George Kunda's Muchinga constituency in Serenje district. Meanwhile,
the disaster management and mitigation unit (DMMU) under the office
of the vice-president has sent a helicopter to Serenje district to
help in transporting cholera patients to access medicine. Central
Province Minister, Ackimson Banda said the helicopter was meant to
access places that were not passable by road in Chief Chisomo area
where suspected cholera had broken out.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Serenje is located in the Central Province of Zambia. Maps of the
country can be found at
<http://www.un.org/Depts/Cartographic/map/profile/zambia.pdf> and the
HealthMap/ProMED-mail interactive map at
<http://healthmap.org/r/005Y>. - Mod.LL]
******
[6] Cholera - Botswana
Date: Mon 2 Mar 2009
Source: AllAfrica, Mmegi report [edited]
<http://allafrica.com/stories/200903030183.html>
Cholera cases have been on the rise since last December [2008]. At a
press briefing on the update on the cholera situation in Botswana,
public health director Shenaaz El-Halabi said by 15 Dec 2008, 8
suspected cholera cases were reported, 3 of which were confirmed.
She revealed that since 24 Feb 2009, 55 suspected cases of cholera
have been reported in various districts. El-Halabi said of the 55, 15
have been confirmed to be cholera and of the number, 2 deaths have
been reported at Princess Marina and Maun General hospitals. Both
fatalities, she added, are a man and woman of Zimbabwean origin.
"All confirmed cases are adults, 5 males and 10 females. The
nationalities of the confirmed cases are 2 from Botswana, a Zambian,
and 12 Zimbabweans. The 1st Motswana [the singular form of Botswana -
Mod.LL] case is originally from Zimbabwe. She has no history of
having recently left Botswana. The 2nd Motswana is from Palapye and
has also reported never being out of the country recently. Contact
tracing is ongoing for these cases and steps to trace possible source
of infection is also ongoing," she said.
[Byline: Ephraim Keoreng]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Maps of the southern African country of Botswana can be found at
<http://www.statistiques-mondiales.com/cartes/botswana2.jpg> and the
HealthMap/ProMED-mail interactive map at
<http://healthmap.org/promed/en?v=-22.2,23.8,5>. - Mod.LL]
******
[7] Diarrhea, fatal - Philippines (Samar)
Date: Mon 9 Mar 2009
Source: ABS-CBN News [edited]
<http://www.abs-cbnnews.com/nation/regions/03/09/09/diarrhea-kills-6-down-49-samar-town>
In 5 villages of Villareal town, Samar province, 6 people have died
while 49 others got sick with diarrhea. According to Roque Barbo,
rural sanitary inspector of the town, most of those who fell ill were
children and the elderly whose immune systems are not strong enough
to fight the bacterial infection. The disease affected the villages
of Igot, Macopa, Ulayan, Conant, and Tayud.
Health authorities suspect that contaminated drinking water might
have caused the spread of diarrhea in those areas. "They get their
water from an open deep well, which might have been contaminated," Barbo said.
Barangay Igot chairwoman Liliosa Brillantes urged officials to help
residents find an alternative water source.
[Byline: Melanie L Bingco]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Samar, formerly Western Samar, is a province in the Philippines
located in the Eastern Visayas region. It covers the western portion
of Samar island as well as several islands in the Samar Sea located
to the west of the mainland and can be seen on a map at
<http://en.wikipedia.org/wiki/Samar>.
The HealthMap/ProMED-mail interactive map of the Philippines is
available at <http://healthmap.org/r/005_>. - Mod.LL]