28 November 2019 – The Ministry of Health (MoH) of Somalia has announced 68 new suspected cases of cholera, with one deaths, for epidemiological week 45 (04—10 November) in 2019. No suspected cholera cases were reported between epidemiological weeks 1 and 7 due to the closure of the main cholera treatment center from which the data was collected. The cumulative total number of suspected cholera cases since the beginning of this outbreak in December 2017 is 9111, including 47 associated death cases. During this period, all of the cases were reported from a total of 27 districts in Banadir and lower Jubba regions. Of the 68 cases reported during this week, 70% of the cases (48) are children below 5 years of age.
The cholera outbreak has been contained in the districts of Jubaland, Hirshabelle and South West States following the implementation of oral cholera vaccination (OCV) campaigns and other health interventions. Active transmission is still reported in Banadir where the most affected districts are Darkenley, Madina and Hodan. These areas have experienced heavy rains in the recent past that may have contributed to the contamination of water sources leading to repeated cholera outbreaks. Over the past two weeks there has been an increase in the number of cholera cases reported.
The overall reduction in the number of new cholera cases as compared to the numbers at the beginning of the outbreak is attributed to improved implementation of preventive interventions including OCV and the strengthening water, sanitation and hygiene (WaSH) activities in hot spots.
Of the 834 stool samples tested since December 2017, a total of 162 samples came out positive for Vibrio cholerae.
In June 2019, WHO and MoH implemented an OCV campaign in the six cholera high risk districts of Kahda, Hamajajab and Heliwa in Banadir region as well as Kismayo, Balad and Afgoi. A total of 621 875 (96.7%) of people aged one year and above received the first dose of the cholera vaccine.
WHO continues to provide leadership and support to health authorities and partners in implementing activities that can mitigate the outbreak. Disease surveillance is being managed with the support of WHO through an electronic system known as the Early Warning Alert and Response Network (EWARN) and is currently being expanded to all health facilities across the country. WHO and the MoH continue to monitor outbreak trends through EWARN and promptly investigate and respond to all alerts.
