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Published Date: 2010-09-07 17:00:04
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2010 (22)
Archive Number: 20100907.3222

CHOLERA, DIARRHEA AND DYSENTERY UPDATE 2010 (22)
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In this update:
Africa
[1] Cholera - Nigeria (Abuja)
[2] Cholera - Nigeria (Jigawa)
[3] Cholera - Nigeria (Gombe)
[4] Cholera - Nigeria (Osun), country-wide totals
[5] Cholera - Cameroon
[6] Cholera - Chad
Asia
[7] Diarrhea - Pakistan (Balochistan)
[8] Cholera - China (Anhui)

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[1] Cholera - Nigeria (Abuja)
Date: Tue 7 Sep 2010
Source: Nigerian Bulletin, The Punch report [edited]
<http://nigerianbulletin.com/2010/09/07/cholera-spreads-to-fct-kills-two-the-punch/>

The fast-spreading cholera outbreak has claimed 2 lives in the Federal
Capital Territory [FCT], Abuja, out of the reported 137 cases reported in
health centers across the 6 area councils.

The special assistant on communications to the minister of health, Ms
Rakiya Zubairu, confirmed this in a telephone interview with one of our
correspondents, on Mon 6 Sep 2010. The 2 deaths were recorded at Gwagwalada
area council, which is a densely populated area of the FCT.

[byline: Bunmi Awolusi]

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[Maps of Nigeria are available at
<http://www.un.org/Depts/Cartographic/map/profile/nigeria.pdf> and the
HealthMap/ProMED-mail interactive map at <http://healthmap.org/r/01Q4>. -
Sr.Tech.Ed.MJ]

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[2] Cholera - Nigeria (Jigawa)
Date: Mon 6 Sep 2010
Source: AllAfrica, Leadership (Nigeria) report [edited]
<http://allafrica.com/stories/201009060297.html>

No fewer than 5 people were confirmed dead, while over 100 others were
hospitalized, following the cholera outbreak in Buji and Gwaram local
government areas of Jigawa State.

Confirming the incident to the Leadership, the commissioner for health, Dr
Ibrahim Nashabaru, said all the deaths were reported from Gantsa Town,
which is the headquarters of Buji Local Government Area [LGA].

Meanwhile, reports from the area revealed that several deaths had occurred.
Mostly affected are residents of Buji where the estimated death has
exceeded 5. Similar cases of cholera outbreak had also been reported at
Hadejia and Birnin-Kudu Local Government Area of the state where an
undisclosed number of deaths had been recorded.

[byline: Muh'd Zangina Kura]

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[3] Cholera - Nigeria (Gombe)
Date: Mon 6 Sep 2010
Source: Next [edited]
<http://234next.com/csp/cms/sites/Next/Home/5615581-146/cholera_claims_more_lives_in_gombe.csp>

The death toll from the cholera epidemic ravaging parts of Gombe State has
risen to 41, said the state's commissioner for health, Mohammad Umar.

Umar told the News Agency of Nigeria [NAN] that the death toll had risen
from 16 to 41, while the number of reported cases of people afflicted with
the disease had also increased from 233 to 735, with Gombe Local Government
Area recording the highest number of 124 cases. According to him, other
local councils affected are Yamaltu Deba, Kaltungo, Billiri, Shongom,
Balanga, and Akko.

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[4] Cholera - Nigeria (Osun), country-wide totals
Date: Sun 5 Sep 2010
Source: Nigerian Compass [edited]
<http://www.compassnewspaper.com/NG/index.php?option=com_content&view=article&id=67054:cholera-outbreak-70-hospitalised-in-osun-state-&catid=46:sunday-compass&Itemid=698>

The cholera epidemic, which has assumed the status of a devastating
hurricane sweeping through the northern part of the country, has now
recorded 6497 cases with 352 deaths and the Federal Government recently
alerted the nation that the entire country was at risk of the epidemic.

Ravaging the entire nation like wildfire, the ailment has surfaced in the
south western part of the country. In Osun State, no fewer than 70 persons
were hospitalized at the Obafemi Awolowo University Teaching Hospital,
Ile-Ife on Fri 3 Sep 2010, following a cholera outbreak in Ife Central
Local Government of Osun.

Dr Funso Ajao, the state's director of Primary Health Care Development
Agency, announced this in Osogbo, the state capital on Sat 4 Sep 2010, in
an interview with the News Agency of Nigeria (NAN). Ajao said that the
affected persons were responding to treatment at the Obafemi Awolowo
University Teaching Hospital, Ile-Ife, where most of the patients were
admitted.

The reported case of the epidemic in Ile-Ife now included the state as one
of the affected states in Nigeria.

In a table showing the cumulative cases, deaths, and number of local
government areas affected by cholera outbreak from January to August 2010,
the 1st outbreak occurred in Adamawa State 2010 in June and [currently?] a
total of 352 deaths out of 6497 suspected cases of cholera had been
recorded in 11 states.

The table also showed that out of the 11 affected states, Bauchi recorded
the highest with 1725 cases of cholera, 53 deaths, and 8 local governments
affected. Other states which had the highest cases include Gombe with 1188
cases, 59 deaths, and 2 LGAs affected, followed by Borno with 1090 cases,
80 deaths; Adamawa, 986 cases, 56 deaths, and 4 LGAs; Cross River, 557, 24
deaths; and Yobe 458 cases, 46 deaths and 3 LGAs affected. Jigawa recorded
86 cases, 6 deaths, and 4 local governments; Taraba 277 cases, 16 deaths
and 1 LGA; FCT 137 cases, 2 deaths, 1 area council; Kaduna 12 cases, 2
deaths, and 1 LGA; and Rivers 81 cases, 3 deaths, and 3 LGAs.

The statement added that laboratory results of stool and water samples
collected from suspected cases indicated that _Vibrio cholerae_ was
isolated from Gombe, Adamawa, Bauchi, Borno, Jigawa, and Taraba States,
while coliform was isolated from water samples in Rivers State.

It was also said that the reason for the outbreaks of cholera in most
states particularly in the north eastern part of the country this year
[2010] was as a result of heavy rains in most parts of the country leading
to flooding in many communities.

[byline: Emmanuel Enyinnaya Appolos]

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[Substantially affecting the northern states of Nigeria, reports are now
surfacing regarding the outbreak being found in the south and capital areas
of the country. - Mod.LL]

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[5] Cholera - Cameroon
Date: Tue 7 Sep 2010
Source: Google News, Associated Press (AP) report [edited]
<http://www.google.com/hostednews/ap/article/ALeqM5hLUIS14D72m-GuO-vprth6eXNugQD9I2C7K80>

UNICEF says more than 300 people have died in the West African nation of
Cameroon from the country's worst cholera outbreak in 20 years. UNICEF said
Monday [6 Sep 2010] that more than 4500 people have been sickened by the
highly contagious infection that causes diarrhea in victims, leading to
severe dehydration.

At least 331 people have died since the outbreak began in May 2010, and
officials fear it will spread further when children return to school this
week [week of 6 Sep 2010] after the summer break. UNICEF is launching an
informational campaign in schools to teach children about good hygiene to
prevent the disease from spreading.

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[A map showing the regions of Cameroon can be accessed at
<http://www.lib.utexas.edu/maps/africa/cameroon_pol98.jpg>. The
HealthMap/ProMED-mail interactive map of Cameroon is available at
<http://healthmap.org/r/05Xt>. - Sr.Tech.Ed.MJ]

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[6] Cholera - Chad
Date: Sat 4 Sep 2010
Source: Google News, Associated Press (AP) report [edited]
<http://www.google.com/hostednews/ap/article/ALeqM5hE1aQMLi3O0egtkFFsBlqtnMG4IAD9I121K80>

Health officials in Chad say an outbreak of cholera in the Central African
nation has killed at least 41 people. Mahamat Mamadou Adji said Fri 3 Sep
2010 that there have been nearly 600 confirmed cases of the fast-moving
infection that causes diarrhea in victims, leading to severe dehydration.

The outbreak in Chad comes as officials in the neighboring countries of
Nigeria and Cameroon also have expressed concern about cholera deaths.

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[Maps of Chad are available at
<http://www.un.org/Depts/Cartographic/map/profile/chad.pdf> and the
HealthMap/ProMED-mail interactive map at <http://healthmap.org/r/05XE>. -
Sr.Tech.Ed.MJ]

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[7] Diarrhea - Pakistan (Balochistan)
Date: Mon 6 Sep 2010
Source: Daily Times [edited]
<http://www.dailytimes.com.pk/default.asp?page=2010%5C09%5C06%5Cstory_6-9-2010_pg1_4>

Over 60 000 flood survivors in 5 districts of eastern Balochistan were
suffering from epidemics, particularly gastroenteritis and malaria.
Well-reputed sources in the Health Department told APP [Associated Press of
Pakistan] that the government had been apprised that over 60 000
flood-stricken people out of total 1.1 million in 5 districts of eastern
Balochistan, including Jhal Magsi, Jaffarabad, Nasirabad, Sibi, and Bolan,
had been suffering from epidemics after consumption of contaminated
floodwaters. They said that at 30 medical camps set up in flood-hit areas,
30 00 patients with diarrhea had been examined. They added that over 12 853
flood victim children suffering from diarrhea and gastroenteritis had been
vaccinated [it is unclear what the cohort was immunized against - Mod.LL]
in the 5 districts so far.

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[Balochistan can be located on the map of Pakistan at
<http://www.lib.utexas.edu/maps/middle_east_and_asia/pakistan_pol_2002.jpg>.
The HealthMap/ProMED-mail interactive map of Pakistan is available at
<http://healthmap.org/r/03Bd>. - Sr.Tech.Ed.MJ]

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[8] Cholera - China (Anhui)
Date: Sat 4 Sep 2010
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english2010/health/2010-09/04/c_13478102.htm>

Another 5 people have been sickened by a cholera outbreak in an east China
county, local health authorities said Sat 4 Sep 2010. This raised the
number of total cholera cases in Mengcheng of Anhui province to 38, but all
earlier 33 cholera patients are recovered, the Anhui provincial health
bureau said in a press release.

The 5 new patients are under treatment in isolation, it said. Wang Lin,
deputy director of Mengcheng county health bureau, said the new patients
had not eaten together.

The cholera outbreak was detected on 16 Aug 2010, when the 1st 3 patients
were admitted into hospital. The 3 people ate at 3 different restaurants.
The provincial health and disease control experts were still working to
trace the source of the epidemic in the county of 1 million people.

[editor: Lin Zhi]

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[Anhui province in eastern China can be seen on the map at
<http://www.lib.utexas.edu/maps/middle_east_and_asia/china_pol01.jpg>. The
HealthMap/ProMED-mail interactive map of China is available at
<http://healthmap.org/r/05XD>. - Sr.Tech.Ed.MJ]

See Also