CHOLERA SITUATION IN November 2017

Cumulative key figures, October 2016 - 30 November 2017 Highlights Epidemic curve of cholera cases in Yemen, Epidemic curve of cholera cases in Yemen, During the month of November 2017, the Ministry of Public Health and Population of October 2016 - 26 April 2017 (First wave) 27 April 2017 - 30 November 2017 (Second wave) 997 525 2 351 0.23% Yemen reported a total 73,086 cholera cases including 33 associated deaths Suspected Related CFR (CFR-0.05%).

2500 s 60000

s cases deaths e e s s a

The cumulative number of cholera cases reported in Yemen since October 2016 is a c c

50000

2000 d 997,525 including 2,351 related deaths with a case fatality rate of 0.23%. The country d e e t t c experienced a second wave of this outbreak during the month of April and from 27 April c 50% 50% 28.1%

e 40000 e p p 1500 Male Female Children < 5 years s to 30 November 2017, the total number of reported cases of cholera is 971,698 s u u s s

30000 including 2,222 related deaths with a case fatality rate of 0.23%. o f o f

1000 r r e In November 2017, a steady and continuous decline in the number of reported cases has e 20000 Last 4 weeks key figures, till 30 November 2017 b b m been observed, with a slight peak during week 46. In response to this continued decline m u u 500

N 10000 in the reported cases, WHO is strengthening active surveillance and case finding in low N 73 086 33 0.05% reporting areas. 0 0 Suspected Related CFR 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 cases deaths The five governorates with the highest cumulative attack rates per 10,000 are Amran 2017 2016 2017 (825.3), (783.8), Al Dhale’e (642.9), Abyan (493.0) and Sana’a (467.7); the Epi week Epi week national attack rate is 352.8 per 10,000. The Governorate with higher numbers of deaths Distribution of suspected cholera cases in Yemen, are Al (417), (285), (272) and Taizz(184). January 2016 - 30 November 2017

Cholera cases reported in Yemen by epidemic wave, Cholera cases and deaths reported during the October 2016 - November 2017 (n= 997 525) second wave, 27 April 2017- 30 November 2017 3% Cumulative attack Governorate Cases Deaths CFR (%) rate (per 10 000) Al Jawf Amanat Al Aslma Abyan 28,142 35 0.12 493.00

Aden 20,360 62 0.30 220.59 Amran First wave Al Bayda 26,982 33 0.12 355.31 Hajjah Second wave Al Dhale'e 47,029 81 0.17 642.92 Al Hudaydah 141,302 272 0.19 436.36 Al Mahwit 97% Al Jawf 14,915 22 0.15 257.78 Saha’a Al Maharah 1,167 1 0.09 78.60 Al Hudaydah Al Mahwit 57,230 148 0.26 783.75 Shabwah Suspected cholera cases and case-fatality rates by governorate Amanat Al Asimah 92,952 70 0.08 328.71 Baymah Dhaman in Yemen, 27 April-30 November 2017 (Second wave) Amran 95,784 174 0.18 825.33 Dhamar 91,754 160 0.17 455.97 Al Bayda 160000 0.90 Hajjah 109,518 417 0.38 470.09 Ibb s e 140000 0.80 s Ibb 60,726 205.35 a 285 0.47 c Abyan 120000 0.70 d Lahj 22,608 21 0.09 224.09 e Taizz t 0.60 ) c 100000 Marib 6,897 7 0.10 192.36 e % ( p

0.50 s Moklla 568 2 0.35 14.17 Lahj R u 80000 s F 0.40 Raymah C 14,640 118 0.81 241.28 o f 60000 r Sa'ada 9,896 5 0.05 109.33 e 0.30 b 40000 Sana'a 68,763 m 0.20 122 0.18 467.67 u N 20000 0.10 Say'on 19 0 - 0.86 Shabwah 1,396 3 0.21 23.10 Number of cholera cases 0 0.00 Taizz 59,050 184 0.31 196.94 Total 971,698 2,222 0.23 352.82 0 1 10,000 20,000 50,000 Governorate

Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, Egypt For Correspondence: Tel + 20-2-22765273, Fax + 20-2-2765456. E-mail: [email protected]